Organization
EVANS MILLS VOLUNTEER AMBULANCE SQUAD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KRISTEN GORDON (PRESIDENT)
(315) 629-6081
Entity
Organization
Contact information
Practice address
8733 FACTORY ST, EVANS MILLS, NY 13637-0113
(315) 629-6081
(315) 629-6088
Mailing address
PO BOX 535, BALDWINSVILLE, NY 13027-0535
(315) 635-1789
(315) 635-3289
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
31377
NY
3416L0300X
Land Ambulance
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01391804
—
NY
Enumeration date
10/10/2006
Last updated
04/17/2015
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