ELIZABETHTOWN-LEWIS EMERGENCY SQUAD; NPI #1285873976

Contact Information

ELIZABETHTOWN-LEWIS EMERGENCY SQUAD

8143 US RT 9
LEWIS, NY 12950

Phone: 518-873-2122
Fax: 518-873-3784
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 ELIZABETHTOWN-LEWIS EMERGENCY SQUAD

NPI # 1285873976

LBN Legal business name ELIZABETHTOWN-LEWIS EMERGENCY SQUAD

Authorized official PATRICIA BASHAW - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 02/19/2009

Last updated 01/03/2015 - About 11 years ago

Identifiers

NY	License #	11409
NY	Medicaid	03134232
	Other	P00772385	MEDICARE RAILROAD

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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