| Organization Name: | STANLEY HALL GORHAM AMBULANCE SERVICE, INC. |
| NPI Number: | 1003882929 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RONALD BAKER (TREASURER) |
| Mailing Address: | 4676 Kearney Rd. Gorham |
| State: | NY US |
| Postal Code: | 14461 |
| Phone Number: | 5857682192 |
| Fax Number: | 5857687323 |
| NPI Enumeration Date: | 02/28/2006 |
| NPI Last Update Date: | 04/02/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | 3420 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |