Provider Demographics
NPI:1942942461
Name:COMMUNITY AMBULANCE COMPANY, INC.
Entity Type:Organization
Organization Name:COMMUNITY AMBULANCE COMPANY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:MARC
Authorized Official - Middle Name:
Authorized Official - Last Name:MACDONELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:631-921-9403
Mailing Address - Street 1:PO BOX 450
Mailing Address - Street 2:
Mailing Address - City:SAYVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11782-0450
Mailing Address - Country:US
Mailing Address - Phone:631-921-9403
Mailing Address - Fax:
Practice Address - Street 1:420 LAKELAND AVE
Practice Address - Street 2:
Practice Address - City:SAYVILLE
Practice Address - State:NY
Practice Address - Zip Code:11782-1906
Practice Address - Country:US
Practice Address - Phone:631-921-9403
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-13
Last Update Date:2022-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport