Organization
CLEMENTE MCKAY AMBULANCE SERVICE, INC.
Active
Other names
Clemente Ambulance Service, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MS. EILEEN LOUISE CLEMENTE (PRESIDENT/CEO)
(330) 750-3038
Entity
Organization
Contact information
Practice address
700 5TH STREET, STRUTHERS, OH 44471
(330) 750-3035
(330) 755-1927
Mailing address
PO BOX 535, BALDWINSVILLE, NY 13027
(315) 635-1789
(315) 635-3289
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
500122
OH
3416L0300X
Land Ambulance
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1558934
—
OH
01
—
590196022
MEDICARE RAILROAD ID
OH
Enumeration date
08/22/2006
Last updated
10/24/2013
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