ONTARIO COUNTY ADVANCED LIFE SUPPORT, INC; NPI #1760534036

Contact Information

ONTARIO COUNTY ADVANCED LIFE SUPPORT, INC

233 N PEARL ST
CANANDAIGUA, NY 14424-1439

Phone: 585-396-6672
Fax: 585-396-0154
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 ONTARIO COUNTY ADVANCED LIFE SUPPORT, INC

NPI # 1760534036

LBN Legal business name ONTARIO COUNTY ADVANCED LIFE SUPPORT, INC

Authorized official REGINALD ALLEN - (CHIEF)

Entity Organization

Organization subpart ¹ No

Enumeration date 01/17/2007

Last updated 08/22/2020 - About 6 years ago

Identifiers

NY	License #	3496
NY	Medicaid	01895192
NY	Other	P0100637AL	BLUE CHOICE
NY	Other	104405FY	PREFERRED CARE #

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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ONTARIO COUNTY ADVANCED LIFE SUPPORT, INC

Contact Information

Specialty

Ambulance

NPI Profile & details for ONTARIO COUNTY ADVANCED LIFE SUPPORT, INC

Reviews for ONTARIO COUNTY ADVANCED LIFE SUPPORT, INC