Provider Demographics
NPI:1861879298
Name:KEENE EMERGENCY MEDICAL SERVICES INC
Entity type:Organization
Organization Name:KEENE EMERGENCY MEDICAL SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BOARD MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:DEREK
Authorized Official - Middle Name:RICHARD
Authorized Official - Last Name:PRILL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-603-2455
Mailing Address - Street 1:107 WASHINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12210-2231
Mailing Address - Country:US
Mailing Address - Phone:518-576-4301
Mailing Address - Fax:518-576-9346
Practice Address - Street 1:108858 ROUTE 9N
Practice Address - Street 2:
Practice Address - City:KEENE
Practice Address - State:NY
Practice Address - Zip Code:12942
Practice Address - Country:US
Practice Address - Phone:518-576-4301
Practice Address - Fax:518-576-9346
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-06
Last Update Date:2021-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY32804341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance