MASSENA RESCUE SQUAD; NPI #1144306200

Contact Information

MASSENA RESCUE SQUAD

341 E ORVIS ST
MASSENA, NY 13662-3200

Phone: 315-764-1999
Fax: 315-769-7403
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 MASSENA RESCUE SQUAD

NPI # 1144306200

LBN Legal business name MASSENA RESCUE SQUAD

Authorized official DEBRA ST.AMAND - (BUSINESS MANAGER)

Entity Organization

Organization subpart ¹ No

Enumeration date 10/31/2006

Last updated 08/22/2020 - About 6 years ago

Identifiers

NY	License #	10191
NY	Medicaid	01975864

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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