Provider Demographics
NPI:1114989357
Name:VINEALL AMBULANCE INC
Entity Type:Organization
Organization Name:VINEALL AMBULANCE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:H
Authorized Official - Last Name:VINEALL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:315-361-9000
Mailing Address - Street 1:PO BOX 85
Mailing Address - Street 2:317 SCONONDOA STREET
Mailing Address - City:ONEIDA
Mailing Address - State:NY
Mailing Address - Zip Code:13421
Mailing Address - Country:US
Mailing Address - Phone:315-361-9000
Mailing Address - Fax:315-363-5319
Practice Address - Street 1:317 SCONONDOA ST
Practice Address - Street 2:
Practice Address - City:ONEIDA
Practice Address - State:NY
Practice Address - Zip Code:13421
Practice Address - Country:US
Practice Address - Phone:315-361-9000
Practice Address - Fax:315-363-5319
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2620341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01220768Medicaid
NY=========OtherTAX ID
NY01220768Medicaid