SULLIVAN PARAMEDICINE, INC


Address: 266 Main St, Hurleyville, NY 12747-5431
Phone: 8454369111

SULLIVAN PARAMEDICINE, INC (NPI# 1053314559) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053314559
Entity Type Organization
Organization Name SULLIVAN PARAMEDICINE, INC
Other Organization Name MOBILEMEDIC EMS
Practice Address 266 Main St
Hurleyville
NY 12747-5431
Mailing Address Po Box 1
Hurleyville
NY 12747-0001
Practice Telephone 8454369111
Practice Fax Number 8454368313
Mailing Telephone 8454369111
Mailing Fax Number 8454368313
Enumeration Date 2005-05-27
Last Update Date 2018-08-17
Authorized Official Name MRS. GINA BOCKMAN (VICE PRESIDENT)
Authorized Official Telephone 8454369111
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 146M00000X Emergency Medical Technician, Intermediate 09295 NY Emergency Medical Service Providers
N 146N00000X Emergency Medical Technician, Basic 09295 NY Emergency Medical Service Providers
Y 146L00000X Emergency Medical Technician, Paramedic 09295 NY Emergency Medical Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NY 02415772 05

Other Provider/Organization Names

Other Name Type Code
Mobilemedic EMS Doing Business As Name - Organization

Other Data Sources

Entity Type Entity Name Entity Address
New York State Corporations SULLIVAN PARAMEDICINE, INC. 266 Main St, Hurleyville, New York 12747-0001

Office Location

Street Address 266 MAIN ST
City HURLEYVILLE
State NY
Zip Code 12747-5431

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1275762015 Sheila R Haber Counselor 51 Little Pond Road, Hurleyville, NY 12747 2009-07-14
1861001281 Eileen Miller, Pt, Dpt, Pllc Clinic/Center 219 Main St, Hurleyville, NY 12747 2020-07-31
1699247775 Anneliese Hartman Behavioral Analyst 109 Rose Ln, Hurleyville, NY 12747-5001 2018-12-29
1912313123 Rosemary Caggiano Registered Nurse 211 Cole Rd, Hurleyville, NY 12747-5038 2014-07-08
1609072909 Jane L Swift-senor Licensed Practical Nurse 164 Huschke Rd, Hurleyville, NY 12747-5218 2007-06-23
1902284813 Carol Ingrassia Exclusive Provider Organization 365 Main St, Hurleyville, NY 12747-5440 2015-05-12
1437674843 Ashley Wallgren Licensed Practical Nurse 275 Main St, Hurleyville, NY 12747-5459 2017-08-07
1982027983 Miriam Axelrod Family Medicine 371 Brickman Rd, Hurleyville, NY 12747-6001 2014-01-27
1013937143 Prasad Children's Dental Heath Program, Inc Clinic/Center 465 Brickman Rd, Hurleyville, NY 12747-6002 2006-07-20
1932428588 Doris Young Counselor 338 Mt Cliff Rd, Hurleyville, NY 12747-6016 2010-05-21
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Taxonomy Information

Taxonomy Code 146L00000X
Grouping Emergency Medical Service Providers
Classification Emergency Medical Technician, Paramedic

Taxonomy Definition

An EMT, Paramedic is an individual trained and certified to perform advanced life support (ALS) in medical emergencies based on individual state boards.
Notes: Sources: Tabers Medical Dictionary and Florida EMS Clearing House.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1245839836 City of Schenectady Emergency Medical Technician, Paramedic 360 Veeder Ave, Schenectady, NY 12305-2793 2020-10-23
1336767979 David Ramos Emergency Medical Technician, Paramedic 2523 Olinville Ave, Bronx, NY 10467-7580 2020-07-09
1639790173 Judah Jay Karkowsky Emergency Medical Technician, Paramedic 20 Irving Pl, Woodmere, NY 11598-1230 2020-05-06
1710508361 Amanda Marie Delaney Emergency Medical Technician, Paramedic 410 Long Pond Dr Apt 87, Schenectady, NY 12306-6876 2020-05-05
1548899529 Michael Alexnder Emergency Medical Technician, Paramedic 101 W End Ave Apt 11v, New York, NY 10023-6321 2020-04-02
1710445259 Nikita Goltyapin Emergency Medical Technician, Paramedic 160 Broadway Rm 1107, New York, NY 10038-4212 2019-03-04
1982107256 Peace Kullerkupp Emergency Medical Technician, Paramedic 152 Banko Dr, Depew, NY 14043-1206 2018-03-13
1285144220 Shawn Tompkins Emergency Medical Technician, Paramedic 3 Martha Ln, Kirkville, NY 13082-9417 2017-10-04
1649780644 James Chester Pienkowski Emergency Medical Technician, Paramedic 4655 Glencliffe Rd, Manlius, NY 13104-2303 2017-10-04
1235654369 Scott Then Emergency Medical Technician, Paramedic 57 Dellwood Rd, Amherst, NY 14226-2412 2017-08-09
Find all providers with the same taxonomy

Competitor

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City HURLEYVILLE
Zip Code 12747

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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