Organization
PROVIDENCE VOLUNTEER AMBULANCE CORPS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHIRLEY AINSWORTH (CAPTAIN)
(518) 883-5723
Entity
Organization
Contact information
Practice address
7177 FISHHOUSE RD, GALWAY, NY 14482
(518) 883-5723
(585) 768-7323
Mailing address
8020 E MAIN RD, LE ROY, NY 14482-9704
(585) 768-2192
(585) 768-7323
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
4523
NY
Other
Enumeration date
11/02/2006
Last updated
02/27/2013
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