Independence Emergency Squad Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

0228 Issued in NY

Legal business name

INDEPENDENCE EMERGENCY SQUAD INC

Practice address

508 Main St.
Whitesville, NY 14897

Phone

(607) 356-3550

NPI assigned

Jul 26, 2007

Last updated

Jun 23, 2009By 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

Casey Howe

Title

Captain

Phone

(607) 356-3550

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Tax ID family

Independence Emergency Squad3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Independence Emergency Squad

  • Land Ambulance
  • Whitesville, NY
  • NPI 1891988168
  NPD tax ID
• Independence Rescue

  • Ambulance
  • Whitesville, NY
  • NPI 1649396300
  NPD tax ID

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

{
    "created_epoch": "1185408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245715200000",
    "number": "1285824367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8020 E MAIN RD",
            "city": "LE ROY",
            "state": "NY",
            "postal_code": "144829704",
            "telephone_number": "585-768-2192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 MAIN ST.",
            "city": "WHITESVILLE",
            "state": "NY",
            "postal_code": "14897",
            "telephone_number": "607-356-3550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENCE EMERGENCY SQUAD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-26",
        "last_updated": "2009-06-23",
        "status": "A",
        "authorized_official_last_name": "HOWE",
        "authorized_official_first_name": "CASEY",
        "authorized_official_title_or_position": "CAPTAIN",
        "authorized_official_telephone_number": "607-356-3550"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NY",
            "license": "0228",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02061512",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rikki Ellison, LPN
• Terri Giardina, LPN
• Independence Emergency Squad
• Independence Rescue
• Robin Rene Pastore, R.N.
• Cecile Ann Steadman, LPN
• Whitesville Central School

• Land Ambulance in Whitesville, NY
• Providers in Whitesville, 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 Jun 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.