Active NPI
Oswego Co Ambulance & Hearse Serv Inc
Doing business as Oswego County Ambulance Service
- Land Ambulance
- Fulton, NY
National Provider Identifier
1265430722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 32217
- 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, 2023
- 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
- Zachary Menter
- Title
- President
- Phone
- (315) 592-4145
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090819000409 | NY | Part B Supplier - Ambulance Service Supplier | 0143374595 | Practice locations: Fulton, NY |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D1101039 | Oswego County Ambulance Service | Certificate of waiver | Mar 26, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.