Organization
VILLAGE OF MINOA
Active
Other names
Minoa Ambulance
Organization subpart
No
Provider details
NPI number
Authorized official
LISA L DEVONA (VILLAGE CLERK)
(315) 656-3100
Entity
Organization
Contact information
Practice address
240 N MAIN ST, MINOA, NY 13116
(315) 656-3100
(315) 656-0825
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
12565
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01955600
—
NY
01
—
590013295
RAILROAD MEDICARE
NY
Enumeration date
03/22/2006
Last updated
07/30/2024
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