Provider Demographics
NPI:1154982312
Name:VOLUNTEER TRANSPORTATION CENTER, INC.
Entity type:Organization
Organization Name:VOLUNTEER TRANSPORTATION CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:SAM
Authorized Official - Middle Name:
Authorized Official - Last Name:PURINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:315-788-0422
Mailing Address - Street 1:24685 STATE ROUTE 37
Mailing Address - Street 2:
Mailing Address - City:WATERTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:13601-5191
Mailing Address - Country:US
Mailing Address - Phone:315-788-0422
Mailing Address - Fax:
Practice Address - Street 1:24685 STATE ROUTE 37
Practice Address - Street 2:
Practice Address - City:WATERTOWN
Practice Address - State:NY
Practice Address - Zip Code:13601-5191
Practice Address - Country:US
Practice Address - Phone:315-788-0422
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-27
Last Update Date:2019-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY0272889Medicaid