Organization
MID-COUNTY VOLUNTEER AMBULANCE SERVICE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL GROSS (ADMINISTRATOR)
(585) 768-2192
Entity
Organization
Contact information
Practice address
11 ERIE BLVD, CANAJOHARIE, NY 13317-1107
(585) 768-2192
Mailing address
PO BOX 186, LE ROY, NY 14482-0186
(585) 768-2192
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
10523
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02128701
—
NY
Enumeration date
02/28/2006
Last updated
08/22/2020
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