ELLICOTTVILLE GREAT VALLEY AMBULANCE INC


Address: Filmore Ave, Ellicottville, NY 14731-0074
Phone: 7169451398

ELLICOTTVILLE GREAT VALLEY AMBULANCE INC (NPI# 1336137884) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1336137884
Entity Type Organization
Organization Name ELLICOTTVILLE GREAT VALLEY AMBULANCE INC
Practice Address Filmore Ave
Ellicottville
NY 14731-0074
Mailing Address 555 International Dr
Williamsville
NY 14221-5723
Practice Telephone 7169451398
Practice Fax Number 7169453340
Mailing Telephone 7162043350
Enumeration Date 2005-10-10
Last Update Date 2007-10-22
Authorized Official Name MR. STEPHEN WARD (AUTHORIZED AGENT)
Authorized Official Telephone 7166992300
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3416L0300X Ambulance
Specialization: Land Transport
0427 NY Transportation Services

Other Provider Identifier

State Issuer Identifier Type Code
NY 02653703 05

Office Location

Street Address FILMORE AVE
City ELLICOTTVILLE
State NY
Zip Code 14731-0074

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1326138066 Olean Medical Group Partnership Clinic/Center 6133 Route 219, Suite 1006, Ellicottville, NY 14731 2006-10-13
1598744690 Amy Jeanne Brueckner Amedure Family Medicine 14 Bristol Ln, Ellicottville, NY 14731 2006-01-17
1841295292 Philip A Sarikey Optometrist 2 Hughey Alley, Ellicottville, NY 14731 2005-06-14
1891999827 Stephen Patrick Ward Pharmacist 6133 Route 219, Suite 1004, Ellicottviille, NY 14731 2007-06-13
1881768703 Ross Moscato Technician/Technologist 2 Hughey Alley, Ellicottville, NY 14731 2006-11-20
1376773176 Joanne Bennett Timkey Massage Therapist 23 Jefferson St., Ellicottville, NY 14731-0781 2009-07-15
1134359730 John Jude Regan Massage Therapist 23 Jefferson St., Ellicottville, NY 14731-0781 2009-07-17
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1215167846 Ellicottville Oasis Day Spa Inc. Massage Therapist 23 Jefferson St., Ellicottville, NY 14731-0781 2009-07-16
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Taxonomy Information

Taxonomy Code 3416L0300X
Grouping Transportation Services
Classification Ambulance
Specialization Land Transport

Taxonomy Definition

Definition to come...
Notes: [1/1/2005: title modified]

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Competitor

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City ELLICOTTVILLE
Zip Code 14731

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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