Organization Active NPI

S&S Volunteeer Ambulance Service Inc

  • Land Ambulance
  • Dolgeville, NY
National Provider Identifier
1043249055
Registry record updated Mar 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
S&S VOLUNTEEER AMBULANCE SERVICE INC
Practice address
75 N Helmer Ave
Dolgeville, NY 13329-1128
Phone
(315) 429-3355
Fax
(315) 429-9312
NPI assigned
Jul 2, 2006
Last updated
Mar 23, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Eric Jenison
Title
President
Phone
(315) 429-3355

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 1714 NY
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

75 N Helmer Ave
Dolgeville, NY 13329-1128

Mailing address

5530 Sheridan Dr
Suite 3B
Williamsville, NY 14221-3730
Phone (716) 204-3350

Other identifiers 1

IdentifierTypeStateIssuer
01743466MedicaidNY

National Provider Directory

National Provider Directory

Locations

75 N Helmer Ave
Dolgeville, NY 13329
Phone (315) 219-0411

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490227200000",
    "number": "1043249055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5530 SHERIDAN DR",
            "address_2": "SUITE 3B",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142213730",
            "telephone_number": "716-204-3350",
            "fax_number": "716-634-7170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 N HELMER AVE",
            "city": "DOLGEVILLE",
            "state": "NY",
            "postal_code": "133291128",
            "telephone_number": "315-429-3355",
            "fax_number": "315-429-9312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S&S VOLUNTEEER AMBULANCE SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-02",
        "last_updated": "2017-03-23",
        "status": "A",
        "authorized_official_last_name": "JENISON",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "315-429-3355"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NY",
            "license": "1714",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01743466",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dolgeville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.