Organization Active NPI

Oswego Co Ambulance & Hearse Serv Inc

Doing business as Oswego County Ambulance Service

  • Land Ambulance
  • Fulton, NY
National Provider Identifier
1265430722
Registry record updated Apr 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
32217 Issued in NY
Legal business name
OSWEGO CO AMBULANCE & HEARSE SERV INC
Doing business as
Oswego County Ambulance Service
Practice address
404 Ontario St
Fulton, NY 13069-1202
Phone
(315) 598-6171
Fax
(315) 598-7107
NPI assigned
Jul 8, 2005
Last updated
Apr 12, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2023

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

Authorized official

Name
Zachary Menter
Title
President
Phone
(315) 592-4145

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 32217 NY Primary

Addresses

Primary practice location

404 Ontario St
Fulton, NY 13069-1202

Mailing address

PO Box 535
Baldwinsville, NY 13027-0535
Phone (315) 635-1789

Other names 1

  • Oswego County Ambulance Service Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090819000409 NY Part B Supplier - Ambulance Service Supplier 0143374595 Practice locations: Fulton, NY

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D1101039Oswego County Ambulance Service404 Ontario Street, Fulton, NY 13069Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

Locations

404 Ontario St
Fulton, NY 13069
Phone (315) 592-4146

NPI Registry JSON

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

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681257600000",
    "number": "1265430722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 535",
            "city": "BALDWINSVILLE",
            "state": "NY",
            "postal_code": "130270535",
            "telephone_number": "315-635-1789",
            "fax_number": "315-635-3289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 ONTARIO ST",
            "city": "FULTON",
            "state": "NY",
            "postal_code": "130691202",
            "telephone_number": "315-598-6171",
            "fax_number": "315-598-7107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSWEGO CO AMBULANCE & HEARSE SERV INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-08",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A",
        "authorized_official_last_name": "MENTER",
        "authorized_official_first_name": "ZACHARY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "315-592-4145"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NY",
            "license": "32217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oswego County Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Oswego County Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fulton, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2023; 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.