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NPI Code Detail

MEDICARE: SOUTH SENECA COMMUNITY VOLUNTEER AMBULANCE CORPS INC

MEDICARE: SOUTH SENECA COMMUNITY 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
1341600000XAmbulance10464NY

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2590012050OTHERPALMETTO-RR MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
19636201OTHERGHI
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1407899230
Entity Type Code : Organization
Provider Name (Legal Business Name) : SOUTH SENECA COMMUNITY VOLUNTEER AMBULANCE CORPS INC
Provider Business Mailing Address
First Line : PO BOX 535
Second Line :
City : BALDWINSVILLE
State : NY
Zip : 13027-0535
Country : US
Telephone Number : 315-635-1789
Fax Number : 315-635-3289
Provider Business Practice Location Address
First Line : 2011 STATE ROUTE 96A
Second Line :
City : OVID
State : NY
Zip : 14521-9507
Country : US
Telephone Number : 607-869-5313
Fax Number :
Authorized Official
Title or Position : DIRECTOR OF OPERATIONS
Name : ZACHARY J. GIBEAU
Credential :
Telephone Number : 607-869-5313
Provider Enumeration Date : 06/13/2006
Last Update Date : 03/17/2022

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Directions to “SOUTH SENECA COMMUNITY VOLUNTEER AMBULANCE CORPS INC ” Practice Location

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