Organization
VILLAGE OF MEDINA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW JACKSON (FIRE CHIEF)
(585) 798-1661
Entity
Organization
Contact information
Practice address
600 MAIN ST, MEDINA, NY 14103-1577
(585) 768-2192
(585) 768-7323
Mailing address
PO BOX 186, LE ROY, NY 14482-0186
(585) 768-2192
(585) 768-7323
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
3615
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01367179
—
NY
Enumeration date
02/28/2006
Last updated
04/20/2022
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