Active NPI
City of Plattsburgh
- Land Ambulance
- Plattsburgh, NY
National Provider Identifier
1326043639
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 33631
- Legal business name
- CITY OF PLATTSBURGH
- Practice address
- 65 Cornelia St
Plattsburgh, NY 12901 - Phone
- (518) 561-2345
- Fax
- (518) 561-8236
- NPI assigned
- Jun 15, 2005
- Last updated
- Apr 1, 2025
- 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
- Mr. Scott Lawliss
- Title
- Chief
- Phone
- (518) 561-3780
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 33631 | NY | Primary |
Addresses
Primary practice location
65 Cornelia St
Plattsburgh, NY 12901
Mailing address
PO Box 535
Baldwinsville, NY 13027-0535
Phone (315) 635-1789
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00671696 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060418000573 | NY | Part B Supplier - Ambulance Service Supplier | 1658380738 | Practice locations: Plattsburgh, 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 |
|---|---|---|---|
| 33D2324526 | City of Plattsburgh Fire Department | Certificate of waiver | Mar 26, 2027 |
National Provider Directory
National Provider DirectoryLocations
65 Cornelia St
Plattsburgh, NY 12901
Phone (518) 561-2345
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118793600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1743465600000",
"number": "1326043639",
"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": "65 CORNELIA ST",
"city": "PLATTSBURGH",
"state": "NY",
"postal_code": "12901",
"telephone_number": "518-561-2345",
"fax_number": "518-561-8236"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CITY OF PLATTSBURGH",
"organizational_subpart": "NO",
"enumeration_date": "2005-06-15",
"last_updated": "2025-04-01",
"certification_date": "2025-04-01",
"status": "A",
"authorized_official_last_name": "LAWLISS",
"authorized_official_first_name": "SCOTT",
"authorized_official_title_or_position": "CHIEF",
"authorized_official_telephone_number": "518-561-3780",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "NY",
"license": "33631",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00671696",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Plattsburgh, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.