BALLSTON LAKE EMERGENCY SQUAD INC; NPI #1821074840

Contact Information

BALLSTON LAKE EMERGENCY SQUAD INC

1123 BALLSTON LAKE RD
BALLSTON LAKE, NY 12019-2331

Phone: 516-399-7066
Fax: 315-635-3289
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 BALLSTON LAKE EMERGENCY SQUAD INC

NPI Number 1821074840

LBN Legal business name BALLSTON LAKE EMERGENCY SQUAD INC

Authorized official JOHN BOYD - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 12/21/2005

Last updated 04/23/2026 - About 1 months ago

Identifiers

NY	Medicaid	01996607
	Other	10039720	CDPHP
	Other	324527	MVP
	Other	590014655	PALMETTO GBA

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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