Philmont Rescue Squad Inc
Organization Active NPI Ambulance · Philmont, NY
NPI 1508895293 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1508895293
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ambulance 341600000X
- License
- 10443 (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
- Organization subpart
- No
Authorized official
- Name
- Rick E Tracey Jr., CCRN EMT
- Title
- Administrator Captain
- Phone
- (518) 672-6192
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 10443 | NY | Yes |
Addresses
Primary practice location
4 Maple Ave
Philmont, NY 12565
Mailing address
PO Box 535
Baldwinsville, NY 13027
Phone (315) 635-1789
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A2348847 | Other | OXFORD | |
| 000402311001 | Other | BCBS OF NENY | |
| 10020076 | Other | CDPHP | |
| 01519171 | Medicaid | NY | |
| 356921 | Other | MVP |
Other providers in Philmont, 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.