PHILMONT RESCUE SQUAD INC; NPI #1508895293

Contact Information

PHILMONT RESCUE SQUAD INC

4 MAPLE AVE
PHILMONT, NY 12565

Phone: 518-672-7401
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 PHILMONT RESCUE SQUAD INC

NPI Number 1508895293

LBN Legal business name PHILMONT RESCUE SQUAD INC

Authorized official RICK TRACEY - (ADMINISTRATOR CAPTAIN)

Entity Organization

Organization subpart ¹ No

Enumeration date 07/03/2006

Last updated 08/22/2020 - About 6 years ago

Identifiers

NY	License #	10443
NY	Medicaid	01519171
	Other	000402311001	BCBS OF NENY
	Other	10020076	CDPHP
	Other	356921	MVP
	Other	A2348847	OXFORD

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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PHILMONT RESCUE SQUAD INC

Contact Information

Specialty

Ambulance

NPI Profile & details for PHILMONT RESCUE SQUAD INC

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