Active NPI
Town of Cuba
- Land Ambulance
- Cuba, NY
National Provider Identifier
1285600189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 0220
- Legal business name
- TOWN OF CUBA
- Practice address
- 5 Bull St
Cuba, NY 14727-1009 - Phone
- (585) 968-8113
- NPI assigned
- Feb 28, 2006
- Last updated
- Oct 9, 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
- Lee James, Town of C A James
- Title
- Town Supervisor
- Phone
- (716) 904-0789
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | NU | ||
| Land Ambulance | 3416L0300X | 0220 | NY | Primary |
Addresses
Primary practice location
5 Bull St
Cuba, NY 14727-1009
Mailing address
PO Box 186
Le Roy, NY 14482-0186
Phone (585) 768-2192
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 012360002 | Medicaid | NY | |
| 5860071 | Other | NY | COMMUNITY BLUE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080418000192 | NY | Part B Supplier - Ambulance Service Supplier | 7113005976 | Practice locations: Cuba, NY |
National Provider Directory
National Provider DirectoryLocations
15 Water St
Cuba, NY 14727
5 Bull St
Cuba, NY 14727
Phone (585) 968-1690
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141084800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1696809600000",
"number": "1285600189",
"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": "5 BULL ST",
"city": "CUBA",
"state": "NY",
"postal_code": "147271009",
"telephone_number": "585-968-8113"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOWN OF CUBA",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-28",
"last_updated": "2023-10-09",
"certification_date": "2023-10-09",
"status": "A",
"authorized_official_last_name": "JAMES",
"authorized_official_first_name": "LEE JAMES, TOWN OF C",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "TOWN SUPERVISOR",
"authorized_official_telephone_number": "716-904-0789"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "NY",
"license": "0220",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "012360002",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMUNITY BLUE",
"identifier": "5860071",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cuba, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2023; 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.