Lake Placid Volunteer Ambulance Service Inc

Primary specialty

AmbulanceTaxonomy code 341600000X

Legal business name

LAKE PLACID VOLUNTEER AMBULANCE SERVICE INC

Practice address

388 Mill Pond Drive
Lake Placid, NY 12946

Phone

(518) 523-9512

Fax

(518) 523-5379

NPI assigned

Oct 26, 2005

Last updated

Nov 14, 2014By 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

Hannah E Marshall, CPA

Title

Treasurer

Phone

(518) 523-8052

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415923200000",
    "number": "1235129701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 WASHINGTON AVE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122102200",
            "telephone_number": "888-603-2455",
            "fax_number": "888-603-2455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "388 MILL POND DRIVE",
            "city": "LAKE PLACID",
            "state": "NY",
            "postal_code": "12946",
            "telephone_number": "518-523-9512",
            "fax_number": "518-523-5379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE PLACID VOLUNTEER AMBULANCE SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-26",
        "last_updated": "2014-11-14",
        "status": "A",
        "authorized_official_last_name": "MARSHALL",
        "authorized_official_first_name": "HANNAH",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "518-523-8052",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NY",
            "license": "1530",
            "primary": false
        },
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590009114",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01606055",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Caitlin Kozak
• KPH Healthcare Services, Inc. (Kinney Drugs #95)
• Ann Martin Kraus, L.AC.
• Lake Placid Central School District
• Lake Placid Sports Medicine, PLLC
• Gretchen Sue Lansing, LMT
• Barbara Lynn Lawrence, OPTICIAN
• Krista M Leblanc, LMHC, LPCC, LCMHC
• Colette Lettero
• Donald Peter Light, RPH

• Ambulance in Lake Placid, NY
• Providers in Lake Placid, NY by specialty
• Ambulance in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.