Organization Active NPI

Town of Highlands Ambulance District

  • Land Ambulance
  • Highland Falls, NY
National Provider Identifier
1124150958
Registry record updated Jul 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
TOWN OF HIGHLANDS AMBULANCE DISTRICT
Practice address
254 Main St
Highland Falls, NY 10928-1804
Phone
(845) 446-4280
Fax
(845) 446-6507
NPI assigned
Mar 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2022

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

Authorized official

Name
Mervin R Livsey
Title
Town Supervisor
Phone
(845) 446-4280

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 3527 NY
Ambulance 341600000X
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

254 Main St
Highland Falls, NY 10928-1804

Mailing address

8610 Main Street
Williamsville, NY 14221
Phone (716) 204-3350

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110125000772 NY Part B Supplier - Ambulance Service Supplier 4385823228 Practice locations: Highland Falls, NY

National Provider Directory

National Provider Directory

Locations

254 Main St
Highland Fls, NY 10928
Phone (845) 446-4280

NPI Registry JSON

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659052800000",
    "number": "1124150958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8610 MAIN STREET",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "14221",
            "telephone_number": "716-204-3350",
            "fax_number": "716-247-5274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "254 MAIN ST",
            "city": "HIGHLAND FALLS",
            "state": "NY",
            "postal_code": "109281804",
            "telephone_number": "845-446-4280",
            "fax_number": "845-446-6507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF HIGHLANDS AMBULANCE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2022-07-29",
        "certification_date": "2022-07-29",
        "status": "A",
        "authorized_official_last_name": "LIVSEY",
        "authorized_official_first_name": "MERVIN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "TOWN SUPERVISOR",
        "authorized_official_telephone_number": "845-446-4280"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NY",
            "license": "3527",
            "primary": false
        },
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland Falls, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2022; 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.