KUYAHOORA VOLUNTEER AMBULANCE CORPS INC NPI 1043294614

NPI Information

NPI: 1043294614
Provider Name: KUYAHOORA VOLUNTEER AMBULANCE CORPS INC

Doing Business As: KUYAHOORA VALLEY AMBULANCE CORPS

Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

Address:
39 CASE STREET
POLAND, NY
ZIP 13431
Phone: (315) 826-3525
Get Directions

KUYAHOORA VOLUNTEER AMBULANCE CORPS INC is a land transport ambulance in Poland, NY. KUYAHOORA VOLUNTEER AMBULANCE CORPS INC NPI is 1043294614. The provider is registered as an organization entity type.
The provider Is Doing Business As Kuyahoora Valley Ambulance Corps.

The provider's business location address is:

39 CASE STREET
POLAND, NY
ZIP 13431
Phone: (315) 826-3525
Fax: (315) 826-5695

The provider's authorized official is Darren Heidelberger .
The authorized official title is President and has the following contact phone number (315) 826-3525.

The CLIA number assigned to this NPI record is 33D2299453 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/6/2005 and was last updated on 3/1/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	341600000X	Ambulance		10230	NEW YORK	No
2	3416L0300X	Ambulance	Land Transport			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	01564089	MEDICAID	NEW YORK
2	590009493	OTHER		PALMETTO GBA RAILROAD
3	950957	OTHER		MVP
4	9602732	OTHER		GHI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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