=====================================================
General NPI Number Information
=====================================================
NPI Number | 1568175065
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | KEENE VALLEY HOSE AND LADDER COMPANY
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/29/2022
-----------------------------------------------------
Last Update Date | 11/10/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 15 MARKET ST
-----------------------------------------------------
City | KEENE VALLEY
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 12943-7700
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 518-576-4727
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 535
-----------------------------------------------------
City | BALDWINSVILLE
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 13027-0535
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 800-927-5845
-----------------------------------------------------
Fax | 315-635-3289
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | TREASURER
-----------------------------------------------------
Name | MR. WILLIAM A TANSEY
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 518-578-9193
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 3416L0300X
-----------------------------------------------------
Taxonomy Name | Land Ambulance
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------