LYON MOUNTAIN AMBULANCE SERVICES, INC; NPI #1306326129

Contact Information

LYON MOUNTAIN AMBULANCE SERVICES, INC

9 FIREHOUSE RD
LYON MOUNTAIN, NY 12952

Phone: 518-735-4334
Fax:
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 LYON MOUNTAIN AMBULANCE SERVICES, INC

NPI Number 1306326129

LBN Legal business name LYON MOUNTAIN AMBULANCE SERVICES, INC

Authorized official LYNETTE DUCKWORTH - (CHIEF OPERATIONS OFFICER)

Entity Organization

Organization subpart ¹ No

Enumeration date 08/21/2018

Last updated 08/21/2018 - About 8 years ago

Identifiers

NY	License #	0917
NY	Other	0917	NYS DEPARTMENT OF HEALTH

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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