Organization Name: | TUPPER LAKE VOLUNTEER AMBULANCE & EMERGENCY SQUAD INC |
NPI Number: | 1730155664 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BOB COLLIER (ADMINISTRATOR) |
Mailing Address: | 49 High St Tupper Lake |
State: | NY US |
Postal Code: | 129861713 |
Phone Number: | 5857682192 |
Fax Number: | |
NPI Enumeration Date: | 02/28/2006 |
NPI Last Update Date: | 03/11/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3416L0300X |
License Number: | 1619 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Ambulance |
Taxonomy Specialization: | Land Transport |
Taxonomy Definition: |