Provider Demographics
NPI:1316561467
Name:TANNERSVILLE RESCUE SQUAD
Entity Type:Organization
Organization Name:TANNERSVILLE RESCUE SQUAD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CAPTAIN
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:
Authorized Official - Last Name:HOSIER
Authorized Official - Suffix:
Authorized Official - Credentials:EMT
Authorized Official - Phone:518-703-3402
Mailing Address - Street 1:PO BOX 562
Mailing Address - Street 2:
Mailing Address - City:TANNERSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:12485-0562
Mailing Address - Country:US
Mailing Address - Phone:518-703-3402
Mailing Address - Fax:
Practice Address - Street 1:21 PARK LANE
Practice Address - Street 2:
Practice Address - City:TANNERSVILLE
Practice Address - State:NY
Practice Address - Zip Code:12485-1248
Practice Address - Country:US
Practice Address - Phone:518-589-6095
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-04
Last Update Date:2020-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable
No333300000XSuppliersEmergency Response System Companies