Provider Demographics
NPI:1902896475
Name:NORFOLK VOLUNTEER RESCUE SQUAD INC
Entity type:Organization
Organization Name:NORFOLK VOLUNTEER RESCUE SQUAD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:SEAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MURPHY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:315-250-3761
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:800-927-5845
Mailing Address - Fax:315-635-3289
Practice Address - Street 1:7 SEDWICK STREET
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:NY
Practice Address - Zip Code:13667-0000
Practice Address - Country:US
Practice Address - Phone:315-250-3761
Practice Address - Fax:315-384-8933
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-26
Last Update Date:2025-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY31805341600000X, 341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01729015Medicaid
NY590011168OtherRAILROAD MEDICARE
NY590011168OtherRAILROAD MEDICARE