Provider Demographics
NPI:1588693279
Name:VOLUNTEER AMBULANCE CORPS OF BATH NY INC
Entity type:Organization
Organization Name:VOLUNTEER AMBULANCE CORPS OF BATH NY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:CAROLE
Authorized Official - Middle Name:ELLEN
Authorized Official - Last Name:TOMBS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:607-776-3156
Mailing Address - Street 1:PO BOX 535
Mailing Address - Street 2:
Mailing Address - City:BALDWINSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:13027-0535
Mailing Address - Country:US
Mailing Address - Phone:315-635-1789
Mailing Address - Fax:315-635-3289
Practice Address - Street 1:110 E STEUBEN ST
Practice Address - Street 2:
Practice Address - City:BATH
Practice Address - State:NY
Practice Address - Zip Code:14810-1622
Practice Address - Country:US
Practice Address - Phone:607-776-3156
Practice Address - Fax:607-776-3156
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-03
Last Update Date:2024-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
3416L0300X
NY10226341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
No3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
265886700OtherUS DEPT OF LABOR OWCP
9602711OtherGHI
NY00928712Medicaid
590148091OtherPALMETTO RR MEDICARE
NY54141BMedicare PIN