Active NPI
Sloatsburg Community Ambulance Corps, Inc
- Ambulance
- Sloatsburg, NY
National Provider Identifier
1215979760
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- Legal business name
- SLOATSBURG COMMUNITY AMBULANCE CORPS, INC
- Practice address
- 62 Washington Ave
Sloatsburg, NY 10974-1718 - Phone
- (845) 753-2445
- NPI assigned
- Jun 11, 2006
- 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
- Matthew Gannon
- Title
- President
- Phone
- (845) 753-2445
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | Primary |
Addresses
Primary practice location
62 Washington Ave
Sloatsburg, NY 10974-1718
Mailing address
PO Box 527
Orangeburg, NY 10962-0527
Phone (610) 401-2041
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01439936 | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
62 Washington Ave
Sloatsburg, NY 10974
Phone (845) 753-2445
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149984000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1350950400000",
"number": "1215979760",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 527",
"city": "ORANGEBURG",
"state": "NY",
"postal_code": "109620527",
"telephone_number": "610-401-2041",
"fax_number": "610-401-2100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "62 WASHINGTON AVE",
"city": "SLOATSBURG",
"state": "NY",
"postal_code": "109741718",
"telephone_number": "845-753-2445"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SLOATSBURG COMMUNITY AMBULANCE CORPS, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-11",
"last_updated": "2012-10-23",
"status": "A",
"authorized_official_last_name": "GANNON",
"authorized_official_first_name": "MATTHEW",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "845-753-2445"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01439936",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sloatsburg, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.