Active NPI
Town of Cohocton
- Land Ambulance
- Atlanta, NY
National Provider Identifier
1144609504
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 32558
- Legal business name
- TOWN OF COHOCTON
- Practice address
- 19 Main Street
Atlanta, NY 14808-9726 - Phone
- (585) 534-5100
- NPI assigned
- May 19, 2015
- Last updated
- Sep 17, 2015
- 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
- William Zigenfus
- Title
- Town Supervisor
- Phone
- (585) 534-5100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 32558 | NY | Primary |
Addresses
Primary practice location
19 Main Street
Atlanta, NY 14808-9726
Mailing address
5530 Sheridan Dr
Suite 3B
Williamsville, NY 14221-3730
Phone (716) 204-3350
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150818003426 | NY | Part B Supplier - Ambulance Service Supplier | 4587979786 | Practice locations: Cohocton, NY |
National Provider Directory
National Provider DirectoryLocations
12 Wilcox St
Cohocton, NY 14826
Phone (585) 259-3004
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431993600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1442448000000",
"number": "1144609504",
"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": "19 MAIN STREET",
"city": "ATLANTA",
"state": "NY",
"postal_code": "148089726",
"telephone_number": "585-534-5100"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOWN OF COHOCTON",
"organizational_subpart": "NO",
"enumeration_date": "2015-05-19",
"last_updated": "2015-09-17",
"status": "A",
"authorized_official_last_name": "ZIGENFUS",
"authorized_official_first_name": "WILLIAM",
"authorized_official_title_or_position": "TOWN SUPERVISOR",
"authorized_official_telephone_number": "585-534-5100"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "NY",
"license": "32558",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2015; 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.