MOBILE LIFE SUPPORT SERVICES INC. NPI 1669474029

NPI Information

NPI: 1669474029
Provider Name: MOBILE LIFE SUPPORT SERVICES, INC.
Classification: Ambulance - 341600000X
Entity Type: Organization

CLIA Number: 33D1006577

Address:
3188 ROUTE 9W
NEW WINDSOR, NY
ZIP 12553
Phone: (845) 562-4368
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MOBILE LIFE SUPPORT SERVICES, INC. is an ambulance in New Windsor, 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). MOBILE LIFE SUPPORT SERVICES, INC. NPI is 1669474029. The provider is registered as an organization entity type.

The provider's business location address is:

3188 ROUTE 9W
NEW WINDSOR, NY
ZIP 12553
Phone: (845) 562-4368
Fax: (845) 565-8019

The provider's authorized official is Gloria Montenogro .
The authorized official title is Director Of Customer Service and has the following contact phone number (845) 561-5698.

The CLIA number assigned to this NPI record is 33D1006577 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/15/2005 and was last updated on 6/18/2021.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	341600000X	Ambulance		341600000X	NEW YORK	Yes

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
1	00674584	MEDICAID	NEW 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: 5/5/2024

NPI Synchronization or Removal

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