MEDICARE: HAMLIN VOLUNTEER AMBULANCE CORP, 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
1	3416L0300X	Land Ambulance	2711	NY

Other Identifiers

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

General Provider Information

NPI Number	:	1255307294
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HAMLIN VOLUNTEER AMBULANCE CORP, INC

Provider Business Mailing Address
First Line	:	PO BOX 186
Second Line	:
City	:	LE ROY
State	:	NY
Zip	:	14482-0186
Country	:	US
Telephone Number	:	585-768-2192
Fax Number	:	585-768-7323

Provider Business Practice Location Address
First Line	:	1483 LAKE RD
Second Line	:
City	:	HAMLIN
State	:	NY
Zip	:	14464-9368
Country	:	US
Telephone Number	:	585-768-2192
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR OF OPERATIONS
Name	:	COLLEEN ROGERS
Credential	:
Telephone Number	:	585-768-2192

Provider Enumeration Date	:	02/28/2006
Last Update Date	:	01/31/2008

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