FORT EDWARD RESCUE SQUAD INC; NPI #1427031319

Contact Information

FORT EDWARD RESCUE SQUAD INC

75 SCHUYLER STREET
FORT EDWARD, NY 12828

Phone: 518-747-6198
Fax: 518-746-9479
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 FORT EDWARD RESCUE SQUAD INC

NPI # 1427031319

LBN Legal business name FORT EDWARD RESCUE SQUAD INC

Authorized official DELLA STINE - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 11/23/2005

Last updated 12/22/2016 - About 9 years ago

Identifiers

NY	License #	09742
NY	Medicaid	01767055
	Other	000400562001	BS OF NORTHEASTERN NY
	Other	10023189	CDPHP
	Other	9718591	GHI
	Other	958571	MVP
	Other	590011143	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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