Cedarville Ambulance Inc.

Primary specialty

AmbulanceTaxonomy code 341600000X

License

0832 Issued in NY

Legal business name

CEDARVILLE AMBULANCE INC.

Practice address

960 State Route 51
Ilion, NY 13357-3908

Phone

(315) 822-5377

Fax

(315) 822-0070

NPI assigned

Oct 16, 2007

Last updated

Feb 10, 2014By 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

Mr. Raymond Jones

Title

President

Phone

(315) 822-5377

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1192492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391990400000",
    "number": "1295924272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4066",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135044066",
            "telephone_number": "315-724-6619",
            "fax_number": "315-797-2589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 STATE ROUTE 51",
            "city": "ILION",
            "state": "NY",
            "postal_code": "133573908",
            "telephone_number": "315-822-5377",
            "fax_number": "315-822-0070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDARVILLE AMBULANCE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-16",
        "last_updated": "2014-02-10",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "315-822-5377",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NY",
            "license": "0832",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02984623",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brandy Cacciatore, LPN
• Dawn M Calhoun
• Renee L Carney
• Cathilic Charities of the Diocese of Albany (Catholic Charities of Herkimer County)
• Catholic Charites of Herkimer County
• Central Valley Central School District
• David B. Miller, RN, PLLC
• Jolee R Dawidowicz, RPH
• Tracey A Dayton, LPN
• Mary Ellen Dolly

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2014; 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.