Provider Demographics
NPI:1649396300
Name:INDEPENDENCE RESCUE
Entity type:Organization
Organization Name:INDEPENDENCE RESCUE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHERRY
Authorized Official - Middle Name:L
Authorized Official - Last Name:DAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:585-593-2510
Mailing Address - Street 1:508 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WHITESVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14897
Mailing Address - Country:US
Mailing Address - Phone:585-593-2510
Mailing Address - Fax:585-596-4108
Practice Address - Street 1:508 MAIN ST
Practice Address - Street 2:
Practice Address - City:WHITESVILLE
Practice Address - State:NY
Practice Address - Zip Code:14897
Practice Address - Country:US
Practice Address - Phone:585-593-2510
Practice Address - Fax:585-596-4108
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYCC0067Medicare ID - Type UnspecifiedPROVIDER I D