Brewerton Ambulance

LBN: Brewerton Volunteer Fire Department Ambulance Inc
Brewerton Ambulance is an health care organization with primary practice located at 9625 Brewerton Rd , Brewerton NY 13029-0708. The organization recently has only one registered license in Transportation Services / Land Transport, which is considered as the primary health care specialty. Brewerton Volunteer Fire Department Ambulance Inc can be contacted via phone (315) 668-9789, or through Mailloux, Stacie via phone (315) 427-8149.

Contact Information

Primary practice address
9625 Brewerton Rd Brewerton NY 13029-0708
Phone: (315) 668-9789
Fax: (315) 428-8648
Website:
Map and Directions
Authorized official contact:
Name: Mailloux, Stacie
Phone: (315) 427-8149

Health care specialties

SpecialtyCodeLicense #State
Transportation Services / Land Transport 3416L0300X 11319 New York
Transportation Services / Land Transport 3416L0300X 31865 New York

Profile Details

NPI number 1073750766
LBN Legal business name Brewerton Volunteer Fire Department Ambulance Inc
DBA Doing business as Brewerton Ambulance
Authorized official Mailloux, Stacie
Entity Organization
Organization subpart 1 No
Enumeration date Jan 16th, 2009
Last updated Oct 16th, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073750766 NPPES
New York MEDICAID 03122016

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