Organization
NORTH WARREN EMERGENCY SQUAD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID P LAVERGNE (OPERATIONS MANAGER)
(518) 494-4317
Entity
Organization
Contact information
Practice address
2 COUGAR LANE, CHESTERTOWN, NY 12817
(518) 494-4317
Mailing address
107 WASHINGTON AVE, ALBANY, NY 12210-2200
(888) 603-2455
(888) 603-2455
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
10301
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01807390
—
NY
01
—
10027480
CDPHP
—
01
—
590012180
PAIMETTO GBA
—
01
—
959849
GHI
—
Enumeration date
05/31/2006
Last updated
03/05/2014
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