Organization
SMITHFIELD EATON VOLUNTEER AMBULANCE CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY T GENTILE (AUTHORIZED AGENT)
(800) 452-8191
Entity
Organization
Contact information
Practice address
CEDAR ST, MORRISVILLE, NY 13408-2601
(315) 684-9342
(315) 684-9342
Mailing address
PO BOX 290184, WETHERSFIELD, CT 06129-0184
(800) 452-8191
(860) 721-6362
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
0288
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01681709
—
NY
01
—
590010639
RAILROAD MEDICARE
—
Enumeration date
10/10/2005
Last updated
01/06/2009
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