Organization Name: | ELLENVILLE FIRST AID & RESCUE SQUAD INC |
NPI Number: | 1215925763 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | STEVE GRUNDT (CHIEF) |
Mailing Address: | 1 Webster St Ellenville |
State: | NY US |
Postal Code: | 124281109 |
Phone Number: | 8456478181 |
Fax Number: | 8456473947 |
NPI Enumeration Date: | 10/10/2005 |
NPI Last Update Date: | 10/11/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3416L0300X |
License Number: | 5515 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Ambulance |
Taxonomy Specialization: | Land Transport |
Taxonomy Definition: |