Provider Demographics
NPI:1851758643
Name:VILLAGE OF SPRINGVILLE
Entity Type:Organization
Organization Name:VILLAGE OF SPRINGVILLE
Other - Org Name:VILLAGE OF SPRINGVILLE EMERGENCY MEDICAL SERVICES
Other - Org Type:Other Name
Authorized Official - Title/Position:VILLAGE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:C
Authorized Official - Last Name:MELOCK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:716-592-4936
Mailing Address - Street 1:21 OSWEGO ST
Mailing Address - Street 2:PO BOX 535
Mailing Address - City:BALDWINSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:13027-2503
Mailing Address - Country:US
Mailing Address - Phone:315-635-1789
Mailing Address - Fax:315-635-3289
Practice Address - Street 1:5 W MAIN ST
Practice Address - Street 2:
Practice Address - City:SPRINGVILLE
Practice Address - State:NY
Practice Address - Zip Code:14141-1011
Practice Address - Country:US
Practice Address - Phone:716-592-4936
Practice Address - Fax:716-592-7088
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-25
Last Update Date:2016-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY330843416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport