LAKE PLACID VOLUNTEER AMBULANCE SERVICE INC; NPI #1235129701

Contact Information

LAKE PLACID VOLUNTEER AMBULANCE SERVICE INC

388 MILL POND DRIVE
LAKE PLACID, NY 12946

Phone: 518-523-9512
Fax: 518-523-5379
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 LAKE PLACID VOLUNTEER AMBULANCE SERVICE INC

NPI # 1235129701

LBN Legal business name LAKE PLACID VOLUNTEER AMBULANCE SERVICE INC

Authorized official HANNAH MARSHALL - (TREASURER)

Entity Organization

Organization subpart ¹ No

Enumeration date 10/26/2005

Last updated 11/14/2014 - About 12 years ago

Identifiers

NY	License #	1530
NY	Medicaid	01606055
	Other	590009114	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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