Organization Active NPI

Sloatsburg Community Ambulance Corps, Inc

  • Ambulance
  • Sloatsburg, NY
National Provider Identifier
1215979760
Registry record updated Oct 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
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

Updated by the provider on Oct 23, 2012

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
01439936MedicaidNY

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.