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Contact Information

BROAD CHANNEL VOLUNTEERS INC
15 NOEL RD
BROAD CHANNEL, NY11693-1037
 Phone: 718-474-6888
 Fax: 718-474-6888
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ambulance

341600000X 59 Ambulance Service Provider
Indicates primary specialty

NPI Profile & details for BROAD CHANNEL VOLUNTEERS INC

NPI # 1679561112
LBN Legal business name BROAD CHANNEL VOLUNTEERS INC
Authorized official MARY GENTILE - (AUTHORIZED AGENT)
Entity Organization
Organization subpart 1 No
Enumeration date 10/10/2005
Last updated 10/14/2008 - About 18 years ago
Identifiers
NY License # 7340
NY Medicaid 01668060
NY Other 1679561112 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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