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NPI Code Detail

MEDICARE: MID-COUNTY VOLUNTEER AMBULANCE SERVICE, INC.

MEDICARE: MID-COUNTY VOLUNTEER AMBULANCE SERVICE, 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
13416L0300XLand Ambulance10523NY

Other Identifiers

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

General Provider Information

NPI Number : 1952377871
Entity Type Code : Organization
Provider Name (Legal Business Name) : MID-COUNTY VOLUNTEER AMBULANCE SERVICE, 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 :
Provider Business Practice Location Address
First Line : 11 ERIE BLVD
Second Line :
City : CANAJOHARIE
State : NY
Zip : 13317-1107
Country : US
Telephone Number : 585-768-2192
Fax Number :
Authorized Official
Title or Position : ADMINISTRATOR
Name : CAROL GROSS
Credential :
Telephone Number : 585-768-2192
Provider Enumeration Date : 02/28/2006
Last Update Date : 08/22/2020

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Directions to “MID-COUNTY VOLUNTEER AMBULANCE SERVICE, INC. ” Practice Location

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