Provider Demographics
NPI:1245206127
Name:CENTRAL ORLEANS VOLUNTEER AMBULANCE, INC.
Entity Type:Organization
Organization Name:CENTRAL ORLEANS VOLUNTEER AMBULANCE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:LAURIE
Authorized Official - Middle Name:J
Authorized Official - Last Name:SCHWAB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:585-589-4163
Mailing Address - Street 1:239 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:ALBION
Mailing Address - State:NY
Mailing Address - Zip Code:14411-1632
Mailing Address - Country:US
Mailing Address - Phone:585-589-4163
Mailing Address - Fax:585-589-0263
Practice Address - Street 1:239 S MAIN ST
Practice Address - Street 2:
Practice Address - City:ALBION
Practice Address - State:NY
Practice Address - Zip Code:14411-1632
Practice Address - Country:US
Practice Address - Phone:585-589-4163
Practice Address - Fax:585-589-0263
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-28
Last Update Date:2022-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY36183416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01401463Medicaid
NYCE078991Medicare ID - Type Unspecified