Spencer Emergency First Aid Squad Inc.

Primary specialty

AmbulanceTaxonomy code 341600000X

License

10956 Issued in NY

Legal business name

SPENCER EMERGENCY FIRST AID SQUAD INC.

Practice address

47 W Tioga St
Spencer, NY 14883-9548

Phone

(607) 589-6435

NPI assigned

Jul 23, 2006

Last updated

Dec 15, 2025By 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

Paula Miller

Title

Treasurer

Phone

(607) 589-6435

Specialties & licenses 1

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": "1153612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765756800000",
    "number": "1265454110",
    "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": "47 W TIOGA ST",
            "city": "SPENCER",
            "state": "NY",
            "postal_code": "148839548",
            "telephone_number": "607-589-6435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPENCER EMERGENCY FIRST AID SQUAD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-23",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-15",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "PAULA",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "607-589-6435"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NY",
            "license": "10956",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "590010619",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00433101",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Babbie J Hart, LPN
• Kaitlyn Bednaz Leljedal, OTR/L
• Samantha Jo Oakes, LPN
• Glenda N/a Phillips-Hickman, LPN
• Jean Scollan Rowley, R.N.
• Spencer Van Etten Central School District
• Spencer-Van Etten Central School District
• Melissa Ann Toyryla, RN
• Lisa Trent
• Theresa Lynne Vallely, RN

• Ambulance in Spencer, NY
• Providers in Spencer, NY by specialty
• Ambulance in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2025; 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.