Organization
GREECE VOLUNTEER AMBULANCE SERVICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON W. BORTLE (MANAGING EMPLOYEE)
(585) 227-2073
Entity
Organization
Contact information
Practice address
867 LONG POND ROAD, GREECE, NY 14612
(585) 227-2073
(585) 227-5406
Mailing address
5530 SHERIDAN DR, SUITE 3B, WILLIAMSVILLE, NY 14221-3730
(716) 204-3350
(716) 247-5274
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
2722
NY
3416L0300X
Land Ambulance
Primary
30721
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01544843
—
NY
01
—
PGREECEVOLA
MONROE PLAN
NY
Enumeration date
03/01/2006
Last updated
08/23/2013
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