Ellenville First Aid & Rescue Squad Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

5515 Issued in NY

Legal business name

ELLENVILLE FIRST AID & RESCUE SQUAD INC

Practice address

1 Webster St
Ellenville, NY 12428-1109

Phone

(845) 647-8181

Fax

(845) 647-3947

NPI assigned

Oct 10, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Steve Grundt

Title

Chief

Phone

(845) 647-8181

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1128902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349913600000",
    "number": "1215925763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 207",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181050207",
            "telephone_number": "484-664-2007",
            "fax_number": "484-664-2015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WEBSTER ST",
            "city": "ELLENVILLE",
            "state": "NY",
            "postal_code": "124281109",
            "telephone_number": "845-647-8181",
            "fax_number": "845-647-3947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLENVILLE FIRST AID & RESCUE SQUAD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-10",
        "last_updated": "2012-10-11",
        "status": "A",
        "authorized_official_last_name": "GRUNDT",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "845-647-8181",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NY",
            "license": "5515",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01581800",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angela Dinozzi, LMSW
• Michelle Dooley, RPH, LMT
• Brianna Ducker
• Ellenville Central School District
• Ellenville Emergency Medical Associates PLLC
• Ellenville Medical Group
• Bruce Engholm, SLP
• Erh Specialty Practice
• Lina Maria Escobar, O.D.
• Finding My Solutions LLC

• Land Ambulance in Ellenville, NY
• Providers in Ellenville, NY by specialty
• Land Ambulance in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2012; 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.