Provider Demographics
NPI:1306839337
Name:ALAMO AMBULANCE SERVICE, INC.
Entity Type:Organization
Organization Name:ALAMO AMBULANCE SERVICE, INC.
Other - Org Name:VASSAR EMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:M
Authorized Official - Last Name:MURPHY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-739-7701
Mailing Address - Street 1:100 RESERVE RD FL 1
Mailing Address - Street 2:
Mailing Address - City:DANBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06810-5267
Mailing Address - Country:US
Mailing Address - Phone:845-475-9602
Mailing Address - Fax:845-475-9915
Practice Address - Street 1:3 HOOK ROAD
Practice Address - Street 2:
Practice Address - City:RHINEBECK
Practice Address - State:NY
Practice Address - Zip Code:12572-1145
Practice Address - Country:US
Practice Address - Phone:845-471-6618
Practice Address - Fax:845-471-3858
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-24
Last Update Date:2023-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY3416L0300X3416L0300X
3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01365035Medicaid
NY01365035Medicaid