Provider Demographics
NPI:1407029119
Name:VARIN'S AMBULANCE SERVICE INC
Entity Type:Organization
Organization Name:VARIN'S AMBULANCE SERVICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:A
Authorized Official - Last Name:VARIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:518-561-4793
Mailing Address - Street 1:3 ROOSEVELT TER
Mailing Address - Street 2:
Mailing Address - City:PLATTSBURGH
Mailing Address - State:NY
Mailing Address - Zip Code:12901-1806
Mailing Address - Country:US
Mailing Address - Phone:518-561-4793
Mailing Address - Fax:
Practice Address - Street 1:3 ROOSEVELT TER
Practice Address - Street 2:
Practice Address - City:PLATTSBURGH
Practice Address - State:NY
Practice Address - Zip Code:12901-1806
Practice Address - Country:US
Practice Address - Phone:518-561-4793
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:VARIN'S AMBULANCE SERVICE, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-04-03
Last Update Date:2008-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY09283416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00813992Medicaid