Organization
SARATOGA EMERGENCY CORP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLARK HAYWARD (PRESIDENT)
(518) 584-2109
Entity
Organization
Contact information
Practice address
166 WEST AVE, SARATOGA SPRINGS, NY 12866-5902
(518) 584-2109
(518) 584-2109
Mailing address
PO BOX 535, BALDWINSVILLE, NY 13027
(315) 635-1789
(315) 635-3289
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
10576
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000400139001
BCBS OF NENY
—
05
—
01335102
—
NY
01
—
10018435
CDPHP
—
01
—
3200157
GHI
—
01
—
590007879
PALMETTO RR MEDICARE
—
01
—
702000
MVP
—
01
—
A1253727
OXFORD
—
Enumeration date
07/03/2006
Last updated
09/30/2008
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