SKENESBOROUGH EMERGENCY SQUAD INC; NPI #1003845736

Contact Information

SKENESBOROUGH EMERGENCY SQUAD INC

37 SKENESBOROUGH DR
WHITEHALL, NY 12887

Phone: 315-499-2122
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Ambulance	341600000X	59	Ambulance Service Provider

Indicates primary specialty

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NPI Profile & details for SKENESBOROUGH EMERGENCY SQUAD INC

NPI # 1003845736

LBN Legal business name SKENESBOROUGH EMERGENCY SQUAD INC

Authorized official BRANDON SPARKS - (CAPTAIN)

Entity Organization

Organization subpart ¹ No

Enumeration date 07/03/2006

Last updated 05/13/2018 - About 8 years ago

Identifiers

NY	License #	10696
NY	Medicaid	01522747
VT	Medicaid	1005602
	Other	000400552001	BCBS OF NENY
	Other	922835	MVP
	Other	590009009	PALMETTO-RR MEDICARE

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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SKENESBOROUGH EMERGENCY SQUAD INC

Contact Information

Specialty

Ambulance

NPI Profile & details for SKENESBOROUGH EMERGENCY SQUAD INC

Reviews for SKENESBOROUGH EMERGENCY SQUAD INC