Provider Demographics
NPI:1487637542
Name:MEDICAL TRANSPORT SERVICE, INC.
Entity Type:Organization
Organization Name:MEDICAL TRANSPORT SERVICE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DAN
Authorized Official - Middle Name:D
Authorized Official - Last Name:MARSH
Authorized Official - Suffix:
Authorized Official - Credentials:AEMT-CC
Authorized Official - Phone:585-593-1977
Mailing Address - Street 1:PO BOX 535
Mailing Address - Street 2:
Mailing Address - City:BALDWINSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:13027-0535
Mailing Address - Country:US
Mailing Address - Phone:800-927-5845
Mailing Address - Fax:
Practice Address - Street 1:4194 STATE ROUTE 19 S
Practice Address - Street 2:
Practice Address - City:BELMONT
Practice Address - State:NY
Practice Address - Zip Code:14813-9515
Practice Address - Country:US
Practice Address - Phone:585-593-1977
Practice Address - Fax:585-593-7684
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-22
Last Update Date:2023-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0229341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY000586040002OtherBLUE CROSS/BLUE SHIELD
NY00662900Medicaid
NY079151Medicare ID - Type Unspecified