Healthcare Provider Details

I. General information

NPI: 1659360956
Provider Name (Legal Business Name): ALTAMONT RESCUE SQUAD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/19/2005
Last Update Date: 03/21/2023
Certification Date: 03/21/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

767 ROUTE 146
ALTAMONT NY
12009-6221
US

IV. Provider business mailing address

PO BOX 535
BALDWINSVILLE NY
13027-0535
US

V. Phone/Fax

Practice location:
  • Phone: 518-861-6715
  • Fax:
Mailing address:
  • Phone: 315-635-1789
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number10044
License Number StateNY

VIII. Authorized Official

Name: WARREN QUINN
Title or Position: PRESIDENT
Credential:
Phone: 518-861-6715