Schroon Lake Emergency Squad Inc.

Primary specialty

AmbulanceTaxonomy code 341600000X

Legal business name

SCHROON LAKE EMERGENCY SQUAD INC.

Practice address

28 Industrial Drive
Schroon Lake, NY 12870

Phone

(518) 532-7477

NPI assigned

Aug 23, 2021

Organization subpart

No

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

Authorized official

Name

Stephen L Miller

Title

Board Member

Phone

(888) 603-2455

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

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

{
    "created_epoch": "1629676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629676800000",
    "number": "1174299762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 WASHINGTON AVE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122102231",
            "telephone_number": "888-603-2455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 INDUSTRIAL DRIVE",
            "city": "SCHROON LAKE",
            "state": "NY",
            "postal_code": "12870",
            "telephone_number": "518-532-7477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCHROON LAKE EMERGENCY SQUAD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-23",
        "last_updated": "2021-08-23",
        "certification_date": "2021-08-03",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "BOARD MEMBER",
        "authorized_official_telephone_number": "888-603-2455"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kerrie Krah
• Emily Kutz
• Bard J. Levey, DDS
• Jeffrey Pearl, RPH
• Schroon Lake Central School
• Joseph J Schwerman, MD

• Ambulance in Schroon Lake, NY
• Providers in Schroon Lake, 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 23, 2021; 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.