ELLENVILLE FIRST AID & RESCUE SQUAD INC NPI 1215925763

NPI Information

NPI: 1215925763
Provider Name: ELLENVILLE FIRST AID & RESCUE SQUAD INC
Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

CLIA Number: 33D2176576

Address:
1 WEBSTER ST
ELLENVILLE, NY
ZIP 12428
Phone: (845) 647-8181
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ELLENVILLE FIRST AID & RESCUE SQUAD INC is a land transport ambulance in Ellenville, NY. ELLENVILLE FIRST AID & RESCUE SQUAD INC NPI is 1215925763. The provider is registered as an organization entity type.

The provider's business location address is:

1 WEBSTER ST
ELLENVILLE, NY
ZIP 12428-109
Phone: (845) 647-8181
Fax: (845) 647-3947

The provider's authorized official is Steve Grundt .
The authorized official title is Chief and has the following contact phone number (845) 647-8181.

The CLIA number assigned to this NPI record is 33D2176576 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/10/2005 and was last updated on 10/11/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	3416L0300X	Ambulance	Land Transport	5515	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	01581800	MEDICAID	NEW YORK
2	A02371	MEDICARE PIN	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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