Old Forge Fire Department
Organization Active NPI Ambulance · Old Forge, NY
NPI 1366433658 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1366433658
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ambulance 341600000X
- License
- 2116 (NY)
- Legal business name
- OLD FORGE FIRE DEPARTMENT
- Practice address
- Main Street
Old Forge, NY 13420-3616 - Phone
- (315) 369-3424
- NPI assigned
- Nov 4, 2005
- Organization subpart
- No
Authorized official
- Name
- Ms. Mary T Gentile
- Title
- Authorized Agent
- Phone
- (860) 257-9201
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 2116 | NY | Yes |
Addresses
Primary practice location
Main Street
Old Forge, NY 13420-3616
Mailing address
PO Box 290184
Wethersfield, CT 06129-0184
Phone (860) 257-9201
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01678211 | Medicaid | NY |
Other providers in Old Forge, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.