Massena Rescue Squad

Primary specialty

AmbulanceTaxonomy code 341600000X

License

10191 Issued in NY

Legal business name

MASSENA RESCUE SQUAD

Practice address

341 E Orvis St
Massena, NY 13662-3200

Phone

(315) 764-1999

Fax

(315) 769-7403

NPI assigned

Oct 31, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Debra J St.Amand

Title

Business Manager

Phone

(315) 764-1999

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144306200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "341 E ORVIS ST",
            "address_2": "PO BOX 5314",
            "city": "MASSENA",
            "state": "NY",
            "postal_code": "136623200",
            "telephone_number": "315-764-1999",
            "fax_number": "315-769-7403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "341 E ORVIS ST",
            "city": "MASSENA",
            "state": "NY",
            "postal_code": "136623200",
            "telephone_number": "315-764-1999",
            "fax_number": "315-769-7403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASSENA RESCUE SQUAD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ST.AMAND",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "315-764-1999"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NY",
            "license": "10191",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01975864",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Massena Hospital Inc
• Massena Hospital, Inc
• Massena Memorial Hospital
• Massena Memorial Hospital Crna
• Massena Optics, Inc.
• Massena Volunteer Emergency Unit (Massena Rescue Squad)
• Cara Jean Mathers
• Mary Matteson
• Matthew S Hayes Physical Therapy PLLC
• Jacqueline Marie Matthie, RN

• Ambulance in Massena, NY
• Providers in Massena, NY by specialty
• Ambulance in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.