FORT ANN RESCUE SQUAD INC; NPI #1477536381

Contact Information

FORT ANN RESCUE SQUAD INC

11287 STATE ROUTE 149
FORT ANN, NY 12827

Phone: 518-639-1005
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Land Transport	3416L0300X	59	Ambulance Service Provider
Ambulance	341600000X	59	Ambulance Service Provider

Indicates primary specialty

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NPI Profile & details for FORT ANN RESCUE SQUAD INC

NPI # 1477536381

LBN Legal business name FORT ANN RESCUE SQUAD INC

Authorized official JORDAN NEUMANN - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 11/23/2005

Last updated 12/04/2020 - About 6 years ago

Identifiers

NY	License #	10258
NY	Medicaid	01767817
	Other	10025830	CDPHP
	Other	958231	MVP
	Other	590011141	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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