Provider Demographics
NPI:1407516800
Name:HIGHLAND AMBULANCE SERVICE, TOWN OF
Entity Type:Organization
Organization Name:HIGHLAND AMBULANCE SERVICE, TOWN OF
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BOOKKEEPER
Authorized Official - Prefix:MS
Authorized Official - First Name:HELENE
Authorized Official - Middle Name:R
Authorized Official - Last Name:HOFFMANN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-238-7332
Mailing Address - Street 1:4 PROCTOR ROAD
Mailing Address - Street 2:PO BOX 138
Mailing Address - City:ELDRED
Mailing Address - State:NY
Mailing Address - Zip Code:12732-0138
Mailing Address - Country:US
Mailing Address - Phone:516-238-7332
Mailing Address - Fax:
Practice Address - Street 1:17 COLLINS ROAD
Practice Address - Street 2:
Practice Address - City:ELDRED
Practice Address - State:NY
Practice Address - Zip Code:12732-5212
Practice Address - Country:US
Practice Address - Phone:516-426-3033
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-27
Last Update Date:2022-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes146N00000XEmergency Medical Service ProvidersEmergency Medical Technician, BasicGroup - Single Specialty