Avon Rotary-Lions Ambulance Service, Inc.

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

2512 Issued in NY

Legal business name

AVON ROTARY-LIONS AMBULANCE SERVICE, INC.

Practice address

74 Genesee St
Avon, NY 14414-1220

Phone

(585) 768-2192

NPI assigned

Feb 28, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

James Corcoran

Title

President

Phone

(585) 768-2192

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1141084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192665600000",
    "number": "1336115336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 186",
            "city": "LE ROY",
            "state": "NY",
            "postal_code": "144820186",
            "telephone_number": "585-768-2192",
            "fax_number": "585-768-7323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 GENESEE ST",
            "city": "AVON",
            "state": "NY",
            "postal_code": "144141220",
            "telephone_number": "585-768-2192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVON ROTARY-LIONS AMBULANCE SERVICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-28",
        "last_updated": "2007-10-18",
        "status": "A",
        "authorized_official_last_name": "CORCORAN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "585-768-2192"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NY",
            "license": "2512",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01686259",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aaron Atwater
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• James Philip Bartholomew, RPH
• Sarah Rose Bennetti, RDN
• Brenna Brady
• Sandra Joy Brice Ballew, R.N.

• Land Ambulance in Avon, NY
• Providers in Avon, NY by specialty
• Land Ambulance in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.