SMITHFIELD EATON VOLUNTEER AMBULANCE CORP; NPI #1619965001

Contact Information

SMITHFIELD EATON VOLUNTEER AMBULANCE CORP

CEDAR ST
MORRISVILLE, NY 13408-2601

Phone: 315-684-9342
Fax: 315-684-9342
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Ambulance	341600000X	59	Ambulance Service Provider

Indicates primary specialty

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NPI Profile & details for SMITHFIELD EATON VOLUNTEER AMBULANCE CORP

NPI # 1619965001

LBN Legal business name SMITHFIELD EATON VOLUNTEER AMBULANCE CORP

Authorized official MARY GENTILE - (AUTHORIZED AGENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 10/10/2005

Last updated 01/06/2009 - About 17 years ago

Identifiers

NY	License #	0288
NY	Medicaid	01681709
	Other	590010639	RAILROAD MEDICARE

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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