Active NPI
Victor Farmington Volunteer Ambulance Corps Inc
- Land Ambulance
- Victor, NY
National Provider Identifier
1093781965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 3421
- Legal business name
- VICTOR FARMINGTON VOLUNTEER AMBULANCE CORPS INC
- Practice address
- 1321 E Victor Rd
Victor, NY 14564-9574 - Phone
- (585) 768-2192
- NPI assigned
- Feb 28, 2006
- 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
- Jeremy Hotchkiss
- Title
- President
- Phone
- (585) 768-2192
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 3421 | NY | Primary |
Addresses
Primary practice location
1321 E Victor Rd
Victor, NY 14564-9574
Mailing address
PO Box 186
Le Roy, NY 14482-0186
Phone (585) 768-2192
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01536616 | Medicaid | NY | |
| PVICTORFARM | Other | NY | MONROE PLAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080328000696 | NY | Part B Supplier - Ambulance Service Supplier | 3375629421 | Practice locations: Victor, NY |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D1067709 | Victor Farmington Volunteer Ambulance Corps | Certificate of waiver | Mar 26, 2027 |
National Provider Directory
National Provider DirectoryLocations
1321 E Victor Rd
Victor, NY 14564
Phone (585) 924-3959
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141084800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1401840000000",
"number": "1093781965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 186",
"city": "LE ROY",
"state": "NY",
"postal_code": "144820186",
"telephone_number": "585-768-2192",
"fax_number": "585-768-7323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1321 E VICTOR RD",
"city": "VICTOR",
"state": "NY",
"postal_code": "145649574",
"telephone_number": "585-768-2192"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VICTOR FARMINGTON VOLUNTEER AMBULANCE CORPS INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-28",
"last_updated": "2014-06-04",
"status": "A",
"authorized_official_last_name": "HOTCHKISS",
"authorized_official_first_name": "JEREMY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "585-768-2192"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "NY",
"license": "3421",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01536616",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MONROE PLAN",
"identifier": "PVICTORFARM",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Victor, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.