Amcare Ambulance Service Inc.
Organization Active NPI Land Ambulance · Rome, NY
NPI 1144257635 · NPPES record last updated Sep 19, 2007
Key facts
- NPI
- 1144257635
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- Legal business name
- AMCARE AMBULANCE SERVICE INC.
- Practice address
- 105 N Doxtator St
Rome, NY 13440-3937 - Phone
- (315) 339-0543
- Fax
- (315) 339-3075
- NPI assigned
- Jun 28, 2006
- Organization subpart
- No
Authorized official
- Name
- Ms. Christine Morrock
- Title
- Office Manager
- Phone
- (315) 339-0543
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D2281475 | Amcare Ambulance Service Inc | Certificate of waiver | Mar 26, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20071009000580 | NY | Part B Supplier - Ambulance Service Supplier | 8921193707 | Practice locations: Rome, NY |
National Provider Directory
Locations
105 N Doxtator St
Rome, NY 13440
Phone (315) 339-0543
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | NY | Yes |
Addresses
Primary practice location
105 N Doxtator St
Rome, NY 13440-3937
Mailing address
105 N Doxtator St
PO Box 996
Rome, NY 13440-3937
Phone (315) 339-0543
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 793811 | Medicaid | NY |
Other providers in Rome, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 19, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.