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Organization

SALEM RESCUE SQUAD INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DENNIS CAMPBELL (CAPTAIN)
(518) 854-7199
Entity
Organization

Contact information

Practice address
152 EAST BROADWAY, SALEM, NY 12865
(518) 584-7199
Mailing address
PO BOX 535, BALDWINSVILLE, NY 13027-0535
(315) 635-1789
(315) 635-3289

Taxonomy

Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
10113
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000400567001
BCBS OF NENY
05
01795968
NY
01
10027320
CDPHP
05
1006589
VT
01
590011764
PALMETTO RR MEDICARE
01
890131
MVP
01
9602398
GHI
Enumeration date
07/15/2006
Last updated
05/05/2023
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