Northern Ambulance Corps, LLC

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

0734 Issued in NY

Legal business name

NORTHERN AMBULANCE CORPS, LLC

Practice address

347 Elm St
Malone, NY 12953-1500

Phone

(518) 483-6659

Fax

(518) 483-4440

NPI assigned

Dec 28, 2007

Organization subpart

No

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

Authorized official

Name

Vicki L Rockhill, EMTNPI 1881810117

Title

Owner

Phone

(518) 483-6650

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Vicki L Rockhill

  • Paramedic
  • Malone, NY
  • NPI 1881810117
  NPD Authorized official

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

{
    "created_epoch": "1198800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577318400000",
    "number": "1104001932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "347 ELM ST",
            "address_2": "PO BOX 607",
            "city": "MALONE",
            "state": "NY",
            "postal_code": "129531500",
            "telephone_number": "518-483-6659",
            "fax_number": "518-483-4440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "347 ELM ST",
            "city": "MALONE",
            "state": "NY",
            "postal_code": "129531500",
            "telephone_number": "518-483-6659",
            "fax_number": "518-483-4440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN AMBULANCE CORPS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-28",
        "last_updated": "2019-12-26",
        "certification_date": "2019-12-26",
        "status": "A",
        "authorized_official_last_name": "ROCKHILL",
        "authorized_official_first_name": "VICKI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "518-483-6650",
        "authorized_official_credential": "EMT"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NY",
            "license": "0734",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02631950",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Amy J O'Riley, SOCIAL WORKER

• Land Ambulance in Malone, NY
• Providers in Malone, NY by specialty
• Land Ambulance in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2019; 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.

Verify at the official NPI Registry.