Healthcare Provider Details

I. General information

NPI: 1184531469
Provider Name (Legal Business Name): TOWN OF COLONIE EMS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/25/2026
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

534 NEW LOUDON RD
LATHAM NY
12110-5316
US

IV. Provider business mailing address

534 NEW LOUDON RD
LATHAM NY
12110-5316
US

V. Phone/Fax

Practice location:
  • Phone: 518-782-2647
  • Fax: 518-782-2656
Mailing address:
  • Phone: 518-782-2647
  • Fax: 518-782-2656

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State

VIII. Authorized Official

Name: MRS. SHERRY HILL
Title or Position: BILLING CLERK
Credential:
Phone: 518-782-2647