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NPI Code Detail

MEDICARE: JOHNSTOWN AREA VOLUNTEER AMBULANCE CORPS, INC.

MEDICARE: JOHNSTOWN AREA VOLUNTEER AMBULANCE CORPS, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1341600000XAmbulance1713NY

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1590011684OTHERRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1235129628
Entity Type Code : Organization
Provider Name (Legal Business Name) : JOHNSTOWN AREA VOLUNTEER AMBULANCE CORPS, INC.
Provider Business Mailing Address
First Line : PO BOX 429
Second Line :
City : CLIFTON PARK
State : NY
Zip : 12065-0429
Country : US
Telephone Number : 518-235-7670
Fax Number : 518-235-7601
Provider Business Practice Location Address
First Line : 231 N PERRY ST
Second Line :
City : JOHNSTOWN
State : NY
Zip : 12095-1216
Country : US
Telephone Number : 518-762-9120
Fax Number : 518-736-1006
Authorized Official
Title or Position : PRESIDENT
Name : MR. LUCAS PASZKIEWICZ
Credential :
Telephone Number : 518-762-9120
Provider Enumeration Date : 10/26/2005
Last Update Date : 04/24/2014

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Directions to “JOHNSTOWN AREA VOLUNTEER AMBULANCE CORPS, INC. ” Practice Location

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