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Contact Information

THOUSAND ISLANDS EMERGENCY RESCUE SERVICE INC
100 UNION STREET
CLAYTON, NY13624-9998
 Phone: 315-686-4333
 Fax: 315-686-4344
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Land Transport

3416L0300X 59 Ambulance Service Provider
 

Ambulance

341600000X 59 Ambulance Service Provider
Indicates primary specialty

NPI Profile & details for THOUSAND ISLANDS EMERGENCY RESCUE SERVICE INC

NPI Number 1306862867
LBN Legal business name THOUSAND ISLANDS EMERGENCY RESCUE SERVICE INC
Authorized official MICHAEL BENNETT - (DIRECTOR OF OPERATIONS)
Entity Organization
Organization subpart 1 No
Enumeration date 07/15/2006
Last updated 03/16/2018 - About 8 years ago
Identifiers
NY License # 0741
NY License # 10174
NY Medicaid 02672264
Other P00274166 PALMETTO GBA RR MEDICARE
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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