MEDICARE: GREAT BEND HALLSTEAD VOLUNTEER AMBULANCE 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	341600000X	Ambulance	05007	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	590014168	OTHER	PALMETTO GBA RAILROAD
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	07600166	OTHER	GATEWAY HEALTH PLAN

General Provider Information

NPI Number	:	1497732721
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GREAT BEND HALLSTEAD VOLUNTEER AMBULANCE 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	:

Provider Business Practice Location Address
First Line	:	5 CARROL ST
Second Line	:
City	:	GREAT BEND
State	:	PA
Zip	:	18821-7700
Country	:	US
Telephone Number	:	570-879-4483
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ANTHONY J CONARTON
Credential	:
Telephone Number	:	570-879-2026

Provider Enumeration Date	:	12/28/2005
Last Update Date	:	12/09/2011

Similar Medicare Providers

1700106986 — WFM HEALTHCARE, P.C.
Practice Location Address:

2564 NE COURTNEY DR.
BEND, OR
97701-7700

Practice Phone: 541-678-5277
Practice Fax: 541-678-5277

1144322330 — DR. GEORGE HAROLD STOVER III DC
Practice Location Address:

325 MAIN STREET
GREAT BEND, PA
18821

Practice Phone: 570-879-2979
Practice Fax: 570-879-5044

1770766958 — HEALTH SOURCE OF GREAT BEND INC
Practice Location Address:

325 MAIN ST
GREAT BEND, PA
18821-9753

Practice Phone: 570-879-2979
Practice Fax: 570-879-5044

1700118247 — DR. BRETT ALLEN MULLEN D.C.
Practice Location Address:

325 MAIN ST
GREAT BEND, PA
18821-9753

Practice Phone: 570-879-2979
Practice Fax: 570-879-5044

1679901714 — LOURDES HOSPITAL
Practice Location Address:

1496 RANDOLPH RD
GREAT BEND, PA
18821-9516

Practice Phone: 607-760-1280
Practice Fax:

1780013318 — LOURDES HOSPITAL
Practice Location Address:

1496 RANDOLPH RD
GREAT BEND, PA
18821-9516

Practice Phone: 607-760-1280
Practice Fax:

Directions to “GREAT BEND HALLSTEAD VOLUNTEER AMBULANCE INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.