Provider Demographics
NPI:1700853579
Name:THE PERINTON VOLUNTEER AMBULANCE CORPS INC
Entity Type:Organization
Organization Name:THE PERINTON VOLUNTEER AMBULANCE CORPS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:MIKE
Authorized Official - Middle Name:
Authorized Official - Last Name:HOSKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:585-223-4150
Mailing Address - Street 1:PO BOX 16996
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14616-0996
Mailing Address - Country:US
Mailing Address - Phone:585-563-1112
Mailing Address - Fax:585-434-3312
Practice Address - Street 1:1400 TURK HILL RD
Practice Address - Street 2:
Practice Address - City:FAIRPORT
Practice Address - State:NY
Practice Address - Zip Code:14450-8751
Practice Address - Country:US
Practice Address - Phone:585-223-4150
Practice Address - Fax:585-223-7300
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-01
Last Update Date:2022-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY27303416L0300X
3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
BA0665Medicare ID - Type Unspecified