TICONDEROGA EMERGENCY SQUAD INC NPI 1336245083

NPI Details

TICONDEROGA EMERGENCY SQUAD INC is an ambulance in Ticonderoga, 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). TICONDEROGA EMERGENCY SQUAD INC NPI is 1336245083. The provider is registered as an organization entity type.

The provider's business location address is:

118 CHAMPLAIN AVENUE
TICONDEROGA, NY
ZIP 12883
Phone: (518) 503-5055
Fax: (518) 391-2601

The provider's authorized official is Patricia A Cook .
The authorized official title is Medical Lt. and has the following contact phone number (518) 503-5055.

The CLIA number assigned to this NPI record is 33D2302910 - 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, basic life support, emergency transport (bls-emergency) (HCPCS:A0429)
• Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) (HCPCS:A0427)

The enumeration date for this NPI number is 9/16/2006 and was last updated on 12/10/2012.

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:

Other Identifiers

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