Provider Demographics
NPI:1922658095
Name:TOWN OF COVERT
Entity Type:Organization
Organization Name:TOWN OF COVERT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERVISOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:G
Authorized Official - Last Name:REYNOLDS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:607-227-8416
Mailing Address - Street 1:8469 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:INTERLAKEN
Mailing Address - State:NY
Mailing Address - Zip Code:14847-9800
Mailing Address - Country:US
Mailing Address - Phone:607-532-8358
Mailing Address - Fax:607-532-4203
Practice Address - Street 1:8469 MAIN ST
Practice Address - Street 2:
Practice Address - City:INTERLAKEN
Practice Address - State:NY
Practice Address - Zip Code:14847-9800
Practice Address - Country:US
Practice Address - Phone:607-532-8358
Practice Address - Fax:607-532-4203
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-19
Last Update Date:2019-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport