| Organization Name: | ELLICOTTVILLE GREAT VALLEY AMBULANCE INC |
| NPI Number: | 1336137884 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | STEPHEN WARD (AUTHORIZED AGENT) |
| Mailing Address: | Filmore Ave Ellicottville |
| State: | NY US |
| Postal Code: | 147310074 |
| Phone Number: | 7169451398 |
| Fax Number: | 7169453340 |
| NPI Enumeration Date: | 10/10/2005 |
| NPI Last Update Date: | 10/22/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | 0427 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |