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SAND LAKE AMBULANCE INC. NPI 1629182076


NPI Information

NPI: 1629182076
Provider Name: SAND LAKE AMBULANCE, INC.
Classification: Ambulance - 341600000X
Entity Type: Organization
Address:
3643 NY ROUTE 43
WEST SAND LAKE, NY
ZIP 12196
Phone: (518) 674-2221
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SAND LAKE AMBULANCE, INC. is an ambulance in West Sand Lake, 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). SAND LAKE AMBULANCE, INC. NPI is 1629182076. The provider is registered as an organization entity type.

The provider's business location address is:

3643 NY ROUTE 43
WEST SAND LAKE, NY
ZIP 12196
Phone: (518) 674-2221
Fax: (518) 674-1096

The provider's authorized official is Barrett Russell .
The authorized official title is Board Member and has the following contact phone number (518) 674-2221.

The enumeration date for this NPI number is 8/19/2006 and was last updated on 2/18/2021.


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
1341600000XAmbulance12260NEW 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
101594325MEDICAIDNEW 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: 11/14/2023

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.