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TICONDEROGA EMERGENCY SQUAD INC
NPI 1336245083
Ambulance in Ticonderoga, NY

Active since September 16, 2006CLIA 33D2302910 · Waiver
118 CHAMPLAIN AVENUE, TICONDEROGA, NY 12883(518) 503-5055(518) 391-2601 Get Directions Write a Review

NPPES record last updated: December 10, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ticonderoga Emergency Squad Inc NPPES

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

TICONDEROGA EMERGENCY SQUAD INC (NPI 1336245083) is a healthcare organization registered as an ambulance in Ticonderoga, New York and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Patricia A Cook, Medical Lt., as its authorized official.

NPPES Registry Identity

NPI1336245083
Entity TypeOrganization
Primary Taxonomy341600000X
Legal Business NameTICONDEROGA EMERGENCY SQUAD INC
Location Address118 CHAMPLAIN AVENUETiconderoga, NY 12883
Mailing AddressPo Box 265Ticonderoga, NY 12883-0265 · (518) 503-5055 · Fax (518) 391-2601
Phone(518) 503-5055
Fax(518) 391-2601
Organization SubpartNo
Authorized OfficialPatricia A CookMedical Lt. · (518) 503-5055
Enumeration DateSeptember 16, 2006
Last NPPES UpdateDecember 10, 2012
✔ NPI 1336245083 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulanceTransportation Services
Taxonomy Code341600000X
License✔ Licensed in NY · 10140
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).
118 CHAMPLAIN AVENUE, Ticonderoga, NY 12883
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Other Identifiers 4

Other700010Mvp
Medicare ID-Type Unspecified54833BNY
Other9602724Ghi
Medicaid01629978NY

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 33D2302910

Ticonderoga Emergency Squad Inc · Ticonderoga, NY
Active · expires Mar 26, 2027
CLIA Number33D2302910
Laboratory TypeAmbulance
Certificate Effective DateApril 17, 2024
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Madison L. Daly
Laboratory Phone(518) 503-5055
Laboratory LocationTiconderoga Emergency Squad Inc118 Champlain Ave, Ticonderoga, NY 12883
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.
1,275 services110 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.
108 services67 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.
87 services63 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 Ticonderoga Emergency Squad Inc's NPI number?

The NPI number for Ticonderoga Emergency Squad Inc is 1336245083. It was assigned to this organization in the NPPES registry on September 16, 2006.

Where is Ticonderoga Emergency Squad Inc located?

Ticonderoga Emergency Squad Inc is located at 118 Champlain Avenue, Ticonderoga, NY 12883. The listed phone number is (518) 503-5055.

What is Ticonderoga Emergency Squad Inc's specialty?

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

Does Ticonderoga Emergency Squad Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2302910) 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 Ticonderoga Emergency Squad Inc was last updated on December 10, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.