Provider Demographics
NPI:1972056026
Name:COLUMBIA COUNTY
Entity Type:Organization
Organization Name:COLUMBIA COUNTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COORDINATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:J
Authorized Official - Last Name:KEELER
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:518-828-0513
Mailing Address - Street 1:85 INDUSTRIAL TRACT ANX
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:NY
Mailing Address - Zip Code:12534-1505
Mailing Address - Country:US
Mailing Address - Phone:518-828-0513
Mailing Address - Fax:518-822-1110
Practice Address - Street 1:85 INDUSTRIAL TRACT ANX
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:NY
Practice Address - Zip Code:12534-1505
Practice Address - Country:US
Practice Address - Phone:518-828-0513
Practice Address - Fax:518-822-1110
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COLUMBIA COUNTY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-07-25
Last Update Date:2016-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance