NORTH EAST ADVANCED LIFE SUPPORT, LLC; NPI #1174703383

Contact Information

NORTH EAST ADVANCED LIFE SUPPORT, LLC

4 CORTLAND DR
ALBANY, NY 12211-1319

Phone: 888-603-2455
Fax: 888-603-2455
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 NORTH EAST ADVANCED LIFE SUPPORT, LLC

NPI Number 1174703383

LBN Legal business name NORTH EAST ADVANCED LIFE SUPPORT, LLC

Authorized official CHRISTIAN BODNER - (CHIEF EXECUTIVE OFFICER)

Entity Organization

Organization subpart ¹ No

Enumeration date 11/06/2007

Last updated 11/06/2007 - About 19 years ago

Identifiers

License #

0849

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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