Provider Demographics
NPI:1922152941
Name:TOWN OF HUNTER
Entity Type:Organization
Organization Name:TOWN OF HUNTER
Other - Org Name:HUNTER AREA AMBULANCE SERVICE
Other - Org Type:Other Name
Authorized Official - Title/Position:BILLING CLERK
Authorized Official - Prefix:
Authorized Official - First Name:ARLENE
Authorized Official - Middle Name:
Authorized Official - Last Name:HOOSE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:518-589-6150
Mailing Address - Street 1:5742 RT. 23A
Mailing Address - Street 2:P.O.BOX 70
Mailing Address - City:TANNERSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:12485
Mailing Address - Country:US
Mailing Address - Phone:518-589-6150
Mailing Address - Fax:518-589-9567
Practice Address - Street 1:5742 RT. 23A
Practice Address - Street 2:
Practice Address - City:TANNERSVILLE
Practice Address - State:NY
Practice Address - Zip Code:12485
Practice Address - Country:US
Practice Address - Phone:518-589-6150
Practice Address - Fax:518-589-9567
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TOWN OF HUNTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-01-23
Last Update Date:2013-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY124823416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00441869Medicaid
NYA49611Medicare PIN
NYA49611Medicare UPIN
NYA49611Medicare Oscar/Certification