Organization
GOWANDA AMBULANCE SERVICE CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE MARIE MOPPERT (PRESIDENT)
(716) 532-2025
Entity
Organization
Contact information
Practice address
225 ALDRICH STREET, GOWANDA, NY 14070
(716) 532-4884
Mailing address
8610 MAIN STREET, WILLIAMSVILLE, NY 14221-7455
(716) 204-3350
(716) 247-5274
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
11014
NY
3416L0300X
Land Ambulance
Primary
—
—
Other
Enumeration date
01/14/2009
Last updated
08/17/2024
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