| Organization Name: | COVENTRY EMERGENCY SQUAD, INC. |
| NPI Number: | 1477824969 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KYLE WEARNE (PRESIDENT) |
| Mailing Address: | 109 North Rd Greene |
| State: | NY US |
| Postal Code: | 137782377 |
| Phone Number: | 6073711141 |
| Fax Number: | |
| NPI Enumeration Date: | 01/16/2012 |
| NPI Last Update Date: | 01/16/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | 30300 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |