| Organization Name: | NORTHERN AMBULANCE CORPS, LLC |
| NPI Number: | 1104001932 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | VICKI L ROCKHILL (OWNER/CEO) |
| Mailing Address: | 347 Elm St Malone |
| State: | NY US |
| Postal Code: | 129531500 |
| Phone Number: | 5184836659 |
| Fax Number: | 5184834440 |
| NPI Enumeration Date: | 12/28/2007 |
| NPI Last Update Date: | 08/04/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | 0734 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |