TICONDEROGA EMERGENCY SQUAD INC; NPI #1336245083

Contact Information

TICONDEROGA EMERGENCY SQUAD INC

118 CHAMPLAIN AVENUE
TICONDEROGA, NY 12883

Phone: 518-503-5055
Fax: 518-391-2601
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 TICONDEROGA EMERGENCY SQUAD INC

NPI # 1336245083

LBN Legal business name TICONDEROGA EMERGENCY SQUAD INC

Authorized official PATRICIA COOK - (MEDICAL LT.)

Entity Organization

Organization subpart ¹ No

Enumeration date 09/16/2006

Last updated 12/10/2012 - About 13 years ago

Identifiers

NY	License #	10140
NY	Medicaid	01629978
	Other	9602724	GHI
	Other	700010	MVP

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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TICONDEROGA EMERGENCY SQUAD INC

Contact Information

Specialty

Ambulance

NPI Profile & details for TICONDEROGA EMERGENCY SQUAD INC

Reviews for TICONDEROGA EMERGENCY SQUAD INC