Town of Lake George

Primary specialty

AmbulanceTaxonomy code 341600000X

Legal business name

TOWN OF LAKE GEORGE

Practice address

24 Gage Rd
Lake George, NY 12845-6130

Phone

(518) 668-5722

NPI assigned

Jan 4, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jennifer Lynn Farrell

Title

Comptroller

Phone

(518) 668-5722

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1641254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647216000000",
    "number": "1013678978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 787",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121100787",
            "telephone_number": "888-603-2455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 GAGE RD",
            "city": "LAKE GEORGE",
            "state": "NY",
            "postal_code": "128456130",
            "telephone_number": "518-668-5722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF LAKE GEORGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-04",
        "last_updated": "2022-03-14",
        "certification_date": "2022-03-14",
        "status": "A",
        "authorized_official_last_name": "FARRELL",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "COMPTROLLER",
        "authorized_official_telephone_number": "518-668-5722"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rite Aid of New York Inc (Rite Aid Pharmacy 07887)
• Bonni Salley
• Lorraine Lee Shkursky, MSED
• Pamela Silva, R.N.
• Stefanie Ann Smith, R.N.
• Walgreen Co (Walgreens #19328)
• Warren County (Warren County Health Services)
• Warren County (Warren/Hamilton OFA)
• Warren County (Warren County Health Services)
• Warren County (Warren County Health Services)

• Ambulance in Lake George, NY
• Providers in Lake George, NY by specialty
• Ambulance in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.