Organization
MONROE MEDI TRANS INC
Active
Other names
Monroe Ambulance
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY S COYLE (EXECUTIVE VICE PRESIDENT)
(585) 327-7601
Entity
Organization
Contact information
Practice address
1669 LYELL AVE, ROCHESTER, NY 14606-2311
(585) 327-7601
(585) 698-2904
Mailing address
1669 LYELL AVE, ROCHESTER, NY 14606-2311
(585) 327-7601
(585) 454-5182
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
ALSFR 91054
NY
341600000X
Ambulance
Primary
NYS 10572
NY
343800000X
Secured Medical Transport (VAN)
AMBULANCE NON EMERG
NY
343900000X
Non-emergency Medical Transport (VAN)
CASE 28448
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00469154
—
NY
01
—
010065963
EXCELLUS BLUE CHOICE
NY
05
—
02991000
—
NY
01
—
8190454
EVERCARE
NY
01
—
911781400F
FLORIDA MEDICAID
FL
01
—
AM040
PREFERRED CARE
NY
01
—
MM
EXCELLUS BC/BS
NY
Enumeration date
10/18/2005
Last updated
08/18/2023
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