Organization Name: | OTISVILLE MT. HOPE VOLUNTEER AMBULANCE |
NPI Number: | 1538188834 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LOU DODD (PRESIDENT) |
Mailing Address: | 60 State Str Otisville |
State: | NY US |
Postal Code: | 10963 |
Phone Number: | 8453869501 |
Fax Number: | 8453861244 |
NPI Enumeration Date: | 07/18/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3416L0300X |
License Number: | 10041 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Ambulance |
Taxonomy Specialization: | Land Transport |
Taxonomy Definition: |