Provider Demographics
NPI:1912293234
Name:ROTTERDAM POLICE DEPARTMENT
Entity type:Organization
Organization Name:ROTTERDAM POLICE DEPARTMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARAMEDIC UNIT SUPV
Authorized Official - Prefix:
Authorized Official - First Name:KEITH
Authorized Official - Middle Name:
Authorized Official - Last Name:COLLINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:518-355-7331
Mailing Address - Street 1:101 PRINCETOWN RD
Mailing Address - Street 2:
Mailing Address - City:ROTTERDAM
Mailing Address - State:NY
Mailing Address - Zip Code:12306-1543
Mailing Address - Country:US
Mailing Address - Phone:518-355-7331
Mailing Address - Fax:518-355-8068
Practice Address - Street 1:101 PRINCETOWN RD
Practice Address - Street 2:
Practice Address - City:ROTTERDAM
Practice Address - State:NY
Practice Address - Zip Code:12306-1543
Practice Address - Country:US
Practice Address - Phone:518-355-7331
Practice Address - Fax:518-355-8068
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-24
Last Update Date:2011-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY4622341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance