Indian River Ambulance Service Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

0952 Issued in NY

Legal business name

INDIAN RIVER AMBULANCE SERVICE INC

Practice address

1 Antwerp Street
Philadelphia, NY 13673

Phone

(315) 530-3026

NPI assigned

Dec 13, 2010

Last updated

Dec 13, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lance Ronas

Title

Director of Operations

Phone

(315) 530-3026

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

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

{
    "created_epoch": "1292198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292198400000",
    "number": "1225331200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8020 E MAIN RD",
            "city": "LE ROY",
            "state": "NY",
            "postal_code": "144829704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 ANTWERP STREET",
            "city": "PHILADELPHIA",
            "state": "NY",
            "postal_code": "13673",
            "telephone_number": "315-530-3026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIAN RIVER AMBULANCE SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-13",
        "last_updated": "2010-12-13",
        "status": "A",
        "authorized_official_last_name": "RONAS",
        "authorized_official_first_name": "LANCE",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "315-530-3026"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NY",
            "license": "0952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Genesis M Colon
• Elizabeth Megan Czigler, PT
• Shelby J Dwyer-Honeywell
• Valerie Christine Gamble, DPT
• Gouverneur Family Health NP
• Indian River Central School District
• Erin Ashley Kiechle, LMHC
• Mirza M Ashraf & Mulazim H Khan (Philadelphia Medical Center)
• Joseph Timothy Shanly, LCSW-R
• Alexis Catherine Shippee, PT, DPT

• Land Ambulance in Philadelphia, NY
• Providers in Philadelphia, NY by specialty
• Land Ambulance in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2010; 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.