Active NPI
Village of Dannemora
- Land Ambulance
- Dannemora, NY
National Provider Identifier
1265508253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 0914
- Legal business name
- VILLAGE OF DANNEMORA
- Practice address
- 121 Emmons St.
Dannemora, NY 12929 - Phone
- (518) 293-8290
- NPI assigned
- Nov 28, 2006
- 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
- Mark Patnode
- Title
- Administrator
- Phone
- (518) 293-8290
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 0914 | NY | Primary |
Addresses
Primary practice location
121 Emmons St.
Dannemora, NY 12929
Mailing address
PO Box 186
Le Roy, NY 14482-0186
Phone (585) 768-2192
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050902000648 | NY | Part B Supplier - Ambulance Service Supplier | 0749212322 | Practice locations: Dannemora, NY |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164672000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1193097600000",
"number": "1265508253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 186",
"city": "LE ROY",
"state": "NY",
"postal_code": "144820186",
"telephone_number": "585-768-2192",
"fax_number": "585-768-7323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 EMMONS ST.",
"city": "DANNEMORA",
"state": "NY",
"postal_code": "12929",
"telephone_number": "518-293-8290"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VILLAGE OF DANNEMORA",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-28",
"last_updated": "2007-10-23",
"status": "A",
"authorized_official_last_name": "PATNODE",
"authorized_official_first_name": "MARK",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "518-293-8290"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "NY",
"license": "0914",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dannemora, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2007; 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.