Provider Demographics
NPI:1134308695
Name:ROTTERDAM VOLUNTEER EMERGENCY MEDICAL CORP
Entity Type:Organization
Organization Name:ROTTERDAM VOLUNTEER EMERGENCY MEDICAL CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:F
Authorized Official - Last Name:STAIRS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:518-355-5990
Mailing Address - Street 1:PO BOX 3426
Mailing Address - Street 2:
Mailing Address - City:SCHENECTADY
Mailing Address - State:NY
Mailing Address - Zip Code:12303-0426
Mailing Address - Country:US
Mailing Address - Phone:518-355-5990
Mailing Address - Fax:518-355-5990
Practice Address - Street 1:2007 CARDIFF RD
Practice Address - Street 2:
Practice Address - City:SCHENECTADY
Practice Address - State:NY
Practice Address - Zip Code:12303-3072
Practice Address - Country:US
Practice Address - Phone:518-355-5990
Practice Address - Fax:518-355-5990
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-31
Last Update Date:2007-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0735341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01402946Medicaid
NY54095BMedicare PIN