Provider Demographics
NPI:1538128996
Name:NORTH SALEM VOLUNTEER AMBULANCE CORPS
Entity Type:Organization
Organization Name:NORTH SALEM VOLUNTEER AMBULANCE CORPS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KURT
Authorized Official - Middle Name:
Authorized Official - Last Name:GULDAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-277-4944
Mailing Address - Street 1:14 DANIEL RD
Mailing Address - Street 2:
Mailing Address - City:NORTH SALEM
Mailing Address - State:NY
Mailing Address - Zip Code:10560-1036
Mailing Address - Country:US
Mailing Address - Phone:914-277-4944
Mailing Address - Fax:
Practice Address - Street 1:14 DANIEL RD
Practice Address - Street 2:
Practice Address - City:NORTH SALEM
Practice Address - State:NY
Practice Address - Zip Code:10560-1036
Practice Address - Country:US
Practice Address - Phone:914-277-4944
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-22
Last Update Date:2024-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY10247341600000X
3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
590012012OtherRR MEDICARE
NY01863318Medicaid
9611701OtherGHI
347614OtherMVP
NYA07111Medicare ID - Type Unspecified