Organization
CHATHAM RESCUE SQUAD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADAM WEISS (CHIEF OF OPERATIONS)
(518) 938-1108
Entity
Organization
Contact information
Practice address
11 MOORE AVE, CHATHAM, NY 12037-1424
(518) 392-9080
(518) 392-0888
Mailing address
PO BOX 535, BALDWINSVILLE, NY 13027-0535
(315) 635-1789
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
09686
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000401718001
BS OF NORTHEASTERN NY
—
01
—
0005313582
AETNA
—
05
—
01733797
—
NY
01
—
10014016
CDPHP
—
01
—
958075
MVP
—
Enumeration date
11/22/2005
Last updated
01/18/2024
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