MASTIC VOLUNTEER AMBULANCE COMPANY INC. NPI 1538700315

NPI Information

NPI: 1538700315
Provider Name: MASTIC VOLUNTEER AMBULANCE COMPANY, INC.
Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

CLIA Number: 33D2289542

Address:
1630 MONTAUK HWY
MASTIC, NY
ZIP 11950
Phone: (631) 281-4357
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MASTIC VOLUNTEER AMBULANCE COMPANY, INC. is a land transport ambulance in Mastic, NY. MASTIC VOLUNTEER AMBULANCE COMPANY, INC. NPI is 1538700315. The provider is registered as an organization entity type.

The provider's business location address is:

1630 MONTAUK HWY
MASTIC, NY
ZIP 11950-010
Phone: (631) 281-4357
Fax: (631) 281-2422

The provider's authorized official is Eugene Thomas Ommundsen .
The authorized official title is Office Manager and has the following contact phone number (516) 523-5507.

The CLIA number assigned to this NPI record is 33D2289542 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/3/2019 and was last updated on 10/3/2019.

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	3416L0300X	Ambulance	Land Transport			Yes

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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