JOHNSBURG EMERGENCY SQUAD INC; NPI #1235113804

Contact Information

JOHNSBURG EMERGENCY SQUAD INC

624 PEACEFUL VALLEY ROAD
NORTH CREEK, NY 12853

Phone: 518-251-2244
Fax: 518-251-2257
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 JOHNSBURG EMERGENCY SQUAD INC

NPI Number 1235113804

LBN Legal business name JOHNSBURG EMERGENCY SQUAD INC

Authorized official JOSEPH CONNELLY - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 12/06/2005

Last updated 07/21/2022 - About 4 years ago

Identifiers

NY	License #	09840
NY	Medicaid	02572278
	Other	000416627001	BS OF NORTHEASTERN NY
	Other	P00136074	PALMETTO GBA RAILROAD
NY	Other	BA0187	MEDICARE PTAN

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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