Organization
MALTA AMBULANCE CORPS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL GREENFIELD (PRESIDENT)
(518) 899-2100
Entity
Organization
Contact information
Practice address
2449 STATE ROUTE 9, MALTA, NY 12020-4407
(518) 899-2100
Mailing address
PO BOX 535, BALDWINSVILLE, NY 13027-0535
(315) 635-1789
(315) 635-3289
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
10377
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01728692
—
NY
01
—
10016471
CDPHP
—
01
—
590009930
RR MEDICARE
—
01
—
701021
MVP
—
01
—
9602095
GHI
—
Enumeration date
03/22/2006
Last updated
06/21/2013
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