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TOWN OF TULLY NPI 1588607352


NPI Information

NPI: 1588607352
Provider Name: TOWN OF TULLY
Classification: Ambulance - 341600000X
Entity Type: Organization

CLIA Number: 33D1105823

Address:
1 RAILROAD ST
TULLY, NY
ZIP 13159
Phone: (315) 696-6414
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TOWN OF TULLY is an ambulance in Tully, NY. The provider is an emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane). TOWN OF TULLY NPI is 1588607352. The provider is registered as an organization entity type.

The provider's business location address is:

1 RAILROAD ST
TULLY, NY
ZIP 13159-245
Phone: (315) 696-6414
Fax: (315) 696-8396

The provider's authorized official is Chad Wakula .
The authorized official title is Captain and has the following contact phone number (315) 696-6414.

The CLIA number assigned to this NPI record is 33D1105823 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/13/2006 and was last updated on 10/16/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1341600000XAmbulance10383NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1959978OTHERGHI
201943255MEDICAIDNEW YORK
3350751OTHERMVP

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.