CANTON RESCUE SQUAD INC; NPI #1336122514

Contact Information

CANTON RESCUE SQUAD INC

77 RIVERSIDE DR
CANTON, NY 13617-1022

Phone: 315-386-4613
Fax: 315-379-1360
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 CANTON RESCUE SQUAD INC

NPI Number 1336122514

LBN Legal business name CANTON RESCUE SQUAD INC

Authorized official MICHAEL DALTON - (ASSISTANT TREASURER)

Entity Organization

Organization subpart ¹ No

Enumeration date 11/22/2005

Last updated 12/04/2025 - About 6 months ago

Identifiers

NY	License #	09523
NY	Medicaid	02576438
	Other	P00229470	PALMETTO GBA 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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