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NORTHEAST QUADRANT ADVANCED LIFE SUPPORT INC NPI 1508833385


NPI Information

NPI: 1508833385
Provider Name: NORTHEAST QUADRANT ADVANCED LIFE SUPPORT INC
Classification: Ambulance - 341600000X
Entity Type: Organization

CLIA Number: 33D2197013

Address:
1030 JACKSON RD
WEBSTER, NY
ZIP 14580
Phone: (585) 563-1112
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NORTHEAST QUADRANT ADVANCED LIFE SUPPORT INC is an ambulance in Webster, 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). NORTHEAST QUADRANT ADVANCED LIFE SUPPORT INC NPI is 1508833385. The provider is registered as an organization entity type.

The provider's business location address is:

1030 JACKSON RD
WEBSTER, NY
ZIP 14580-705
Phone: (585) 563-1112
Fax: (585) 434-3312

The provider's authorized official is Cihat Tekin .
The authorized official title is President and has the following contact phone number (888) 376-1075.

The CLIA number assigned to this NPI record is 33D2197013 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/1/2006 and was last updated on 2/8/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13416L0300XAmbulanceLand Transport2783NEW YORKNo
2341600000XAmbulanceYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1PNEQUADNALSOTHERNEW YORKMONROE PLAN

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.