CHAMPLAIN EMS INC NPI 1053394239

NPI Information

  • NPI: 1053394239
  • Provider Name: CHAMPLAIN EMS INC
  • Classification: Ambulance - 341600000X
  • Entity Type: Organization
  • CLIA Number: 33D2293740
  • Address: 1150 STATE ROUTE 11
    CHAMPLAIN, NY
    ZIP 12919
  • Phone: (518) 298-5911

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NPI Details

CHAMPLAIN EMS INC is an ambulance in Champlain, NY. The provider is an emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane). CHAMPLAIN EMS INC NPI is 1053394239. The provider is registered as an organization entity type.

The provider's business location address is:

1150 STATE ROUTE 11
CHAMPLAIN, NY
ZIP 12919-526
Phone: (518) 298-5911
Fax: (518) 298-3918

The provider's authorized official is Cory Thompson .
The authorized official title is President and has the following contact phone number (518) 298-5911.

The CLIA number assigned to this NPI record is 33D2293740 - ambulance with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Ground mileage, per statute mile (HCPCS:A0425)
  • Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) (HCPCS:A0427)
  • Ambulance service, basic life support, emergency transport (bls-emergency) (HCPCS:A0429)

The enumeration date for this NPI number is 11/22/2005 and was last updated on 11/27/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1341600000XAmbulanceYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1P00122123OTHERPALMETTO GBA-RAILROAD
202568050MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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