Provider Demographics
NPI:1538150495
Name:NORTHERN DUTCHESS PARAMEDICS INC
Entity type:Organization
Organization Name:NORTHERN DUTCHESS PARAMEDICS INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:B
Authorized Official - Last Name:MURRAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:845-876-3860
Mailing Address - Street 1:3 HOOK RD
Mailing Address - Street 2:PO BOX 672
Mailing Address - City:RHINEBECK
Mailing Address - State:NY
Mailing Address - Zip Code:12572-1145
Mailing Address - Country:US
Mailing Address - Phone:845-876-3860
Mailing Address - Fax:845-876-7071
Practice Address - Street 1:3 HOOK RD
Practice Address - Street 2:
Practice Address - City:RHINEBECK
Practice Address - State:NY
Practice Address - Zip Code:12572-1145
Practice Address - Country:US
Practice Address - Phone:845-876-3860
Practice Address - Fax:845-876-7071
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-31
Last Update Date:2011-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY11571341600000X
NY02893416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT003105526Medicaid
NY01610402Medicaid
NY590010939OtherRR MEDICARE
NY02991055Medicaid
A02853OtherEMPIRE BCBS
NY953550OtherMVP PROVIDER ID
NY02991055Medicaid