Organization Active NPI

Philmont Rescue Squad Inc

  • Ambulance
  • Philmont, NY
National Provider Identifier
1508895293
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
10443 Issued in NY
Legal business name
PHILMONT RESCUE SQUAD INC
Practice address
4 Maple Ave
Philmont, NY 12565
Phone
(518) 672-7401
NPI assigned
Jul 3, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Rick E Tracey Jr., CCRN EMT
Title
Administrator Captain
Phone
(518) 672-6192

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 10443 NY Primary

Addresses

Primary practice location

4 Maple Ave
Philmont, NY 12565

Mailing address

PO Box 535
Baldwinsville, NY 13027
Phone (315) 635-1789

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508895293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 535",
            "city": "BALDWINSVILLE",
            "state": "NY",
            "postal_code": "13027",
            "telephone_number": "315-635-1789",
            "fax_number": "315-635-3289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 MAPLE AVE",
            "city": "PHILMONT",
            "state": "NY",
            "postal_code": "12565",
            "telephone_number": "518-672-7401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILMONT RESCUE SQUAD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TRACEY",
        "authorized_official_first_name": "RICK",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "ADMINISTRATOR CAPTAIN",
        "authorized_official_telephone_number": "518-672-6192",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "CCRN EMT"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NY",
            "license": "10443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philmont, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.