Bethel Volunteer Ambulance Corps Inc
Director
Nicki E Maxwell, M.D.
Expiration Date
Phone Number
(845) 583-5004
UID (Facility ID - Site ID)
H427-0000
Site ID
0000
City
White Lake
CLIA Number
33D2332435
Street Address
3452 State Rte 55
State
NY
Zip Code
12786
County
Sullivan
Country
United States
Fax Number
(845) 747-3177
Primary Contact
Tony Carlucci
Contact Phone Number
(845) 807-9035
Certificate Type
WAIVER
Tests
Glucose
Facility ID
H427