Provider Demographics
NPI:1821030263
Name:SCHUYLER COUNTY VOLUNTEER AMBULANCE ASSOCIATION INC
Entity Type:Organization
Organization Name:SCHUYLER COUNTY VOLUNTEER AMBULANCE ASSOCIATION INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:MARY ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:607-535-7273
Mailing Address - Street 1:PO BOX 831
Mailing Address - Street 2:
Mailing Address - City:ITHACA
Mailing Address - State:NY
Mailing Address - Zip Code:14851-0831
Mailing Address - Country:US
Mailing Address - Phone:610-401-2041
Mailing Address - Fax:610-401-2100
Practice Address - Street 1:909 S DECATUR ST
Practice Address - Street 2:
Practice Address - City:WATKINS GLEN
Practice Address - State:NY
Practice Address - Zip Code:14891-1631
Practice Address - Country:US
Practice Address - Phone:607-535-7273
Practice Address - Fax:607-535-8825
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-11
Last Update Date:2023-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00920163Medicaid
NY00920163Medicaid