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Organization

JOHNSBURG EMERGENCY SQUAD INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JOSEPH CHARLES CONNELLY (PRESIDENT)
(518) 812-5282
Entity
Organization

Contact information

Practice address
624 PEACEFUL VALLEY ROAD, NORTH CREEK, NY 12853
(518) 251-2244
(518) 251-2257
Mailing address
624 PEACEFUL VALLEY ROAD, NORTH CREEK, NY 12853
(518) 251-2244
(518) 251-2257

Taxonomy

Speciality
Code
Description
License number
State
341600000X
Ambulance
09840
NY
341600000X
Ambulance
Primary
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000416627001
BS OF NORTHEASTERN NY
05
02572278
NY
01
BA0187
MEDICARE PTAN
NY
01
P00136074
PALMETTO GBA RAILROAD
Enumeration date
12/06/2005
Last updated
07/21/2022
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