MEDICARE: FORT ANN RESCUE SQUAD INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	341600000X	Ambulance	10258	NY
2	3416L0300X	Land Ambulance

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	590011141	OTHER	PALMETTO GBA RAILROAD
2	10025830	OTHER	CDPHP
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	958231	OTHER	MVP

General Provider Information

NPI Number	:	1477536381
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FORT ANN RESCUE SQUAD INC

Provider Business Mailing Address
First Line	:	8610 MAIN STREET
Second Line	:
City	:	WILLIAMSVILLE
State	:	NY
Zip	:	14221-7455
Country	:	US
Telephone Number	:	716-204-3350
Fax Number	:	716-247-5274

Provider Business Practice Location Address
First Line	:	11287 STATE ROUTE 149
Second Line	:
City	:	FORT ANN
State	:	NY
Zip	:	12827
Country	:	US
Telephone Number	:	518-639-1005
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JORDAN T. NEUMANN
Credential	:
Telephone Number	:	518-639-1005

Provider Enumeration Date	:	11/23/2005
Last Update Date	:	12/04/2020

Similar Medicare Providers

1508923491 — FORT ANN CENTRAL SCHOOL
Practice Location Address:

1 CATHERINE ST
FORT ANN, NY
12827-5039

Practice Phone: 518-639-5594
Practice Fax: 518-639-8911

1669515466 — ADELE W. POTTER P.T.
Practice Location Address:

1402 PATTEN MILLS RD
FORT ANN, NY
12827-1721

Practice Phone: 518-798-0550
Practice Fax: 518-798-0550

1811016777 — MRS. SUZANNE MARIE LOPARNOS M.S., CCC-SLP
Practice Location Address:

37 MICHIGAN LN
FORT ANN, NY
12827-2813

Practice Phone: 518-793-2217
Practice Fax: 518-793-2217

1952554131 — MRS. DEBRA COLLETTE ALLEN OTR/L
Practice Location Address:

15 SLY POND RD
FORT ANN, NY
12827-3300

Practice Phone: 518-793-6222
Practice Fax:

1164707253 — MRS. ELIZABETH M WELLS-DANKO MS, CCC-SLP
Practice Location Address:

1 CATHERINE ST
FORT ANN, NY
12827-5039

Practice Phone: 518-639-5594
Practice Fax: 518-639-8911

1154698017 — MRS. SHARON VIRGINIA PAVELCHAK
Practice Location Address:

1 CATHERINE ST
FORT ANN, NY
12827-5039

Practice Phone: 518-639-5594
Practice Fax:

Directions to “FORT ANN RESCUE SQUAD INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.