Thousand Islands Emergency Rescue Service Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

0741 Issued in NY

Legal business name

THOUSAND ISLANDS EMERGENCY RESCUE SERVICE INC

Practice address

100 Union Street
Clayton, NY 13624-9998

Phone

(315) 686-4333

Fax

(315) 686-4344

NPI assigned

Jul 15, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Michael Bennett

Title

Director of Operations

Phone

(315) 686-4333

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521158400000",
    "number": "1306862867",
    "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",
            "fax_number": "585-768-7323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 UNION STREET",
            "city": "CLAYTON",
            "state": "NY",
            "postal_code": "136249998",
            "telephone_number": "315-686-4333",
            "fax_number": "315-686-4344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOUSAND ISLANDS EMERGENCY RESCUE SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-15",
        "last_updated": "2018-03-16",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "315-686-4333",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NY",
            "license": "10174",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NY",
            "license": "0741",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02672264",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA RR MEDICARE",
            "identifier": "P00274166",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda L Rosen
• Jack D Rush, M.D.
• Nosheen Sandhu, MD
• Beth Anne Solar, LPN
• Thousand Islands Central School Districtq
• Chelsea M Whalen, LPN II
• Michael Joseph Williams, DMD
• Rebecca Yelle

• Land Ambulance in Clayton, NY
• Providers in Clayton, 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 Mar 16, 2018; 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.