JOHN H AHEARN JR RESCUE SQUAD INC; NPI #1114917507

Contact Information

JOHN H AHEARN JR RESCUE SQUAD INC

58 N CENTRAL AVE
MECHANICVILLE, NY 12118-1514

Phone: 518-664-8354
Fax: 518-664-8354
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 JOHN H AHEARN JR RESCUE SQUAD INC

NPI Number 1114917507

LBN Legal business name JOHN H AHEARN JR RESCUE SQUAD INC

Authorized official MARY GENTILE - (AUTHORIZED AGENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 10/26/2005

Last updated 11/26/2008 - About 18 years ago

Identifiers

NY	License #	4520
NY	Medicaid	02227645
NY	Other	590014728	RAILROAD 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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