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SKENESBOROUGH EMERGENCY SQUAD INC
NPI 1003845736
Ambulance in Whitehall, NY

Active since July 03, 2006CLIA 33D2329456 · Waiver
37 SKENESBOROUGH DR, WHITEHALL, NY 12887(315) 499-2122 Get Directions Write a Review

NPPES record last updated: May 13, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Skenesborough Emergency Squad Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SKENESBOROUGH EMERGENCY SQUAD INC (NPI 1003845736) is a healthcare organization registered as an ambulance in Whitehall, New York and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Brandon Paul Sparks, Captain, as its authorized official.

NPPES Registry Identity

NPI1003845736
Entity TypeOrganization
Primary Taxonomy341600000X
Legal Business NameSKENESBOROUGH EMERGENCY SQUAD INC
Location Address37 SKENESBOROUGH DRWhitehall, NY 12887
Mailing Address107 Washington AveAlbany, NY 12210-2231 · (888) 603-2455 · Fax (888) 603-2455
Phone(315) 499-2122
Organization SubpartNo
Authorized OfficialBrandon Paul SparksCaptain · (518) 499-2122
Enumeration DateJuly 3, 2006
Last NPPES UpdateMay 13, 2018
✔ NPI 1003845736 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulanceTransportation Services
Taxonomy Code341600000X
License✔ Licensed in NY · 10696
Definition
An emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane).
37 SKENESBOROUGH DR, Whitehall, NY 12887
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Other Identifiers 5

Medicaid01522747NY
Other922835Mvp
Medicaid1005602VT
Other590009009Palmetto-rr Medicare
Other000400552001Bcbs Of Neny

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2329456

Skenesborough Emergency Squad Inc · Whitehall, NY
Active · expires Mar 26, 2027
CLIA Number33D2329456
Laboratory TypeAmbulance
Certificate Effective DateAugust 28, 2025
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Douglas H. Girling
Laboratory Phone(518) 499-2122
Laboratory LocationSkenesborough Emergency Squad Inc37 Skenesborough Dr, Whitehall, NY 12887
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Ground mileage, per statute mile A0425
Ground mileage per statute mile is a method of calculating the cost of transportation for medical services. It is used when a patient needs to be transported by ground ambulance. The cost is calculated per mile, from the pick-up location to the medical facility.
2,800 services77 patients
Ambulance service, basic life support, emergency transport (bls-emergency) A0429
Ambulance service with basic life support (BLS-Emergency) provides immediate transport for patients in critical situations. Medical professionals on board deliver essential care like CPR, wound dressing, and oxygen therapy to stabilize patients during the journey.
59 services48 patients
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) A0427
Ambulance Service, Advanced Life Support, Level 1 (ALS 1 - Emergency) is a critical care transport service for emergency situations. It includes a team of healthcare professionals equipped with advanced skills and tools to manage life-threatening conditions during transport.
50 services44 patients

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Skenesborough Emergency Squad Inc's NPI number?

The NPI number for Skenesborough Emergency Squad Inc is 1003845736. It was assigned to this organization in the NPPES registry on July 3, 2006.

Where is Skenesborough Emergency Squad Inc located?

Skenesborough Emergency Squad Inc is located at 37 Skenesborough Dr, Whitehall, NY 12887. The listed phone number is (315) 499-2122.

What is Skenesborough Emergency Squad Inc's specialty?

The primary specialty registered for this NPI is Ambulance with taxonomy code 341600000X.

Does Skenesborough Emergency Squad Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2329456) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Skenesborough Emergency Squad Inc was last updated on May 13, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.