Active NPI
Greene Emergency Squad Inc
- Land Ambulance
- Greene, NY
National Provider Identifier
1043241599
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 31627
- Legal business name
- GREENE EMERGENCY SQUAD INC
- Practice address
- 30 Birdsall St
Greene, NY 13778-1050 - Phone
- (607) 656-5688
- Fax
- (607) 656-5677
- NPI assigned
- Jul 5, 2006
- Last updated
- May 22, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- James Strenkert
- Title
- Captain
- Phone
- (607) 656-5688
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 12671 | NY | |
| Land Ambulance | 3416L0300X | 31627 | NY | Primary |
Addresses
Primary practice location
30 Birdsall St
Greene, NY 13778-1050
Mailing address
PO Box 4110, Dept 330
Woburn, MA 01888-4110
Phone (607) 656-5688
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| BA0808 | Other | NY | MEDICARE |
| 02743346 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060223000319 | NY | Part B Supplier - Ambulance Service Supplier | 1759397037 | Practice locations: Greene, NY |
National Provider Directory
National Provider DirectoryLocations
30 Birdsall St
Greene, NY 13778
Phone (607) 336-3522
8 N Canal St
Greene, NY 13778
Phone (607) 656-5688
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1684713600000",
"number": "1043241599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4110, DEPT 330",
"city": "WOBURN",
"state": "MA",
"postal_code": "018884110",
"telephone_number": "607-656-5688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 BIRDSALL ST",
"city": "GREENE",
"state": "NY",
"postal_code": "137781050",
"telephone_number": "607-656-5688",
"fax_number": "607-656-5677"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GREENE EMERGENCY SQUAD INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-05",
"last_updated": "2023-05-22",
"certification_date": "2023-05-22",
"status": "A",
"authorized_official_last_name": "STRENKERT",
"authorized_official_first_name": "JAMES",
"authorized_official_title_or_position": "CAPTAIN",
"authorized_official_telephone_number": "607-656-5688"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "NY",
"license": "12671",
"primary": false
},
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "NY",
"license": "31627",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "BA0808",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02743346",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greene, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.