Sand Lake Ambulance, Inc.

Primary specialty

AmbulanceTaxonomy code 341600000X

License

12260 Issued in NY

Legal business name

SAND LAKE AMBULANCE, INC.

Practice address

3643 Ny Route 43
West Sand Lake, NY 12196

Phone

(518) 674-2221

Fax

(518) 674-1096

NPI assigned

Aug 19, 2006

Last updated

May 22, 2023By 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

Mr. Hamish C McMillan

Title

Opperations Manager

Phone

(888) 603-2455

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684713600000",
    "number": "1629182076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 787",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121100787",
            "telephone_number": "888-603-2455",
            "fax_number": "518-674-1096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3643 NY ROUTE 43",
            "city": "WEST SAND LAKE",
            "state": "NY",
            "postal_code": "12196",
            "telephone_number": "518-674-2221",
            "fax_number": "518-674-1096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAND LAKE AMBULANCE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-19",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "status": "A",
        "authorized_official_last_name": "MCMILLAN",
        "authorized_official_first_name": "HAMISH",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OPPERATIONS MANAGER",
        "authorized_official_telephone_number": "888-603-2455",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NY",
            "license": "12260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ambulance in West Sand Lake, NY
• Providers in West Sand Lake, NY by specialty
• Ambulance in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.