Organization
WARRENSBURG EMERGENCY MEDICAL SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. COREY SHANE OUELLETTE (PRESIDENT)
(518) 623-4911
Entity
Organization
Contact information
Practice address
3 KING ST, WARRENSBURG, NY 12885
(518) 623-4911
(518) 623-3651
Mailing address
107 WASHINGTON AVE, ALBANY, NY 12210-2231
(888) 603-2455
(888) 603-2455
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
10557
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000400847000
BS OF NENY
—
05
—
02040751
—
NY
01
—
10039586
CDPHP
—
01
—
9602117
GHI
—
Enumeration date
09/16/2006
Last updated
09/12/2019
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