Organization Active NPI

Village of Geneseo

  • Land Ambulance
  • Geneseo, NY
National Provider Identifier
1164499893
Registry record updated Oct 22, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
2516 Issued in NY
Legal business name
VILLAGE OF GENESEO
Practice address
119 Main St
Geneseo, NY 14454-1237
Phone
(585) 768-2192
NPI assigned
Mar 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2007

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

Authorized official

Name
Marsha Merrick
Title
Treasurer
Phone
(585) 768-2192

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 2516 NY Primary

Addresses

Primary practice location

119 Main St
Geneseo, NY 14454-1237

Mailing address

PO Box 186
Le Roy, NY 14482-0186
Phone (585) 768-2192

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060118000667 NY Part B Supplier - Ambulance Service Supplier 8820012719 Practice locations: Geneseo, NY

National Provider Directory

National Provider Directory

Locations

119 Main St
Geneseo, NY 14454

NPI Registry JSON

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

{
    "created_epoch": "1141171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193011200000",
    "number": "1164499893",
    "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": "119 MAIN ST",
            "city": "GENESEO",
            "state": "NY",
            "postal_code": "144541237",
            "telephone_number": "585-768-2192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE OF GENESEO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-01",
        "last_updated": "2007-10-22",
        "status": "A",
        "authorized_official_last_name": "MERRICK",
        "authorized_official_first_name": "MARSHA",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "585-768-2192"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NY",
            "license": "2516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Geneseo, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2007; 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.