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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NY | 02415772 | 05 |
Other Name | Type Code |
---|---|
Mobilemedic EMS | Doing Business As Name - Organization |
Entity Type | Entity Name | Entity Address |
---|---|---|
New York State Corporations | SULLIVAN PARAMEDICINE, INC. | 266 Main St, Hurleyville, New York 12747-0001 |
Street Address |
266 MAIN ST |
City | HURLEYVILLE |
State | NY |
Zip Code | 12747-5431 |
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 |
Find all providers in zip 12747 |
Taxonomy Code | 146L00000X |
Grouping | Emergency Medical Service Providers |
Classification | Emergency Medical Technician, Paramedic |
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. |
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 |
City | HURLEYVILLE |
Zip Code | 12747 |
Please comment or provide details below to improve the information on SULLIVAN PARAMEDICINE, INC.
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.