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Organization

FORT EDWARD RESCUE SQUAD INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DELLA STINE (PRESIDENT)
(518) 747-6198
Entity
Organization

Contact information

Practice address
75 SCHUYLER STREET, FORT EDWARD, NY 12828
(518) 747-6198
(518) 746-9479
Mailing address
5530 SHERIDAN DR, SUITE 3B, WILLIAMSVILLE, NY 14221-3730
(716) 204-3350
(716) 634-7170

Taxonomy

Speciality
Code
Description
License number
State
341600000X
Ambulance
09742
NY
341600000X
Ambulance
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000400562001
BS OF NORTHEASTERN NY
05
01767055
NY
01
10023189
CDPHP
01
590011143
PALMETTO GBA RAILROAD
01
958571
MVP
01
9718591
GHI
Enumeration date
11/23/2005
Last updated
12/22/2016
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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