Organization
FOOTHILLS MEDICAL TRANSPORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALVIN LAWRENCE ALDRICH JR. (SOLE PROPRIETOR)
(315) 777-5435
Entity
Organization
Contact information
Practice address
6458 E MARTINSBURG RD, LOT 2, LOWVILLE, NY 13367-4809
(315) 777-5435
Mailing address
6458 E MARTINSBURG RD, LOT 2, LOWVILLE, NY 13367-4809
(315) 777-5435
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
39486
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04159904
—
NY
Enumeration date
10/20/2016
Last updated
10/20/2016
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