Provider Demographics
NPI:1215904925
Name:LIVINGSTON COUNTY
Entity type:Organization
Organization Name:LIVINGSTON COUNTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EMS COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:BILL
Authorized Official - Middle Name:
Authorized Official - Last Name:SHEAHAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:585-768-2192
Mailing Address - Street 1:PO BOX 186
Mailing Address - Street 2:
Mailing Address - City:LE ROY
Mailing Address - State:NY
Mailing Address - Zip Code:14482-0186
Mailing Address - Country:US
Mailing Address - Phone:585-768-2192
Mailing Address - Fax:585-768-7323
Practice Address - Street 1:6 COURT ST
Practice Address - Street 2:ROOM 107
Practice Address - City:GENESEO
Practice Address - State:NY
Practice Address - Zip Code:14454-1043
Practice Address - Country:US
Practice Address - Phone:585-768-2192
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-01
Last Update Date:2008-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY07293416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYA3598315OtherOXFORD
NYP00222965OtherMEDICARE RAILROAD
NY02668826Medicaid
NYP00222965OtherMEDICARE RAILROAD