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WATERFORD RESCUE SQUAD INC NPI 1629090576


NPI Information

NPI: 1629090576
Provider Name: WATERFORD RESCUE SQUAD INC
Classification: Ambulance - 341600000X
Entity Type: Organization

CLIA Number: 33D2040201

Address:
46 4TH ST
WATERFORD, NY
ZIP 12188
Phone: (518) 237-2473
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WATERFORD RESCUE SQUAD INC is an ambulance in Waterford, 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). WATERFORD RESCUE SQUAD INC NPI is 1629090576. The provider is registered as an organization entity type.

The provider's business location address is:

46 4TH ST
WATERFORD, NY
ZIP 12188-327
Phone: (518) 237-2473
Fax: (518) 235-0084

The provider's authorized official is Tracy Ann Weir .
The authorized official title is Coo and has the following contact phone number (518) 237-2473.

The CLIA number assigned to this NPI record is 33D2040201 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/23/2006 and was last updated on 9/17/2020.


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
1341600000XAmbulance10789NEW YORKYes

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
101470364MEDICAIDNEW YORK
2590008498OTHERPALMETTO GBA RR MEDICARE
310019558OTHERCDPHP
49602402OTHERGHI

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.