Organization
STILLWATER AMBULANCE FUND INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLYN M HAYNER (TREASURER)
(518) 664-8012
Entity
Organization
Contact information
Practice address
283 N HUDSON AVE, STILLWATER, NY 12170
(518) 664-8012
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
10630
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000407131001
BCBS OF NENY
—
05
—
02382474
—
NY
01
—
10071542
CDPHP
—
01
—
394213
MVP
—
01
—
9727377
GHI
—
01
—
P00060121
PALMETTO GBA RR MEDICARE
—
Enumeration date
07/11/2006
Last updated
07/24/2013
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