Organization Name: | WALWORTH AMBULANCE INC. |
NPI Number: | 1568608412 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PAUL PHILLIPS (PRESIDENT) |
Mailing Address: | 2178 Church St Walworth |
State: | NY US |
Postal Code: | 145689306 |
Phone Number: | 3159861123 |
Fax Number: | |
NPI Enumeration Date: | 12/24/2008 |
NPI Last Update Date: | 12/24/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3416L0300X |
License Number: | 0870 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Ambulance |
Taxonomy Specialization: | Land Transport |
Taxonomy Definition: |