Provider Demographics
NPI:1821089939
Name:RENSSELAERVILLE VOL AMB INC
Entity Type:Organization
Organization Name:RENSSELAERVILLE VOL AMB INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED AGENT
Authorized Official - Prefix:MS
Authorized Official - First Name:JOANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:ORLANDO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-366-4004
Mailing Address - Street 1:PO BOX 182
Mailing Address - Street 2:
Mailing Address - City:RENSSELAERVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:12147-0182
Mailing Address - Country:US
Mailing Address - Phone:518-239-4071
Mailing Address - Fax:518-239-6866
Practice Address - Street 1:380 FOX CREEK RD.
Practice Address - Street 2:
Practice Address - City:MEDUSA
Practice Address - State:NY
Practice Address - Zip Code:12120-1900
Practice Address - Country:US
Practice Address - Phone:518-797-3798
Practice Address - Fax:518-797-5269
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-31
Last Update Date:2013-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0135341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01806995Medicaid
590012181OtherRAILROAD MEDICARE
NYBB0252Medicare PIN