Organization Active NPI

City of Plattsburgh

  • Land Ambulance
  • Plattsburgh, NY
National Provider Identifier
1326043639
Registry record updated Apr 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
33631 Issued in NY
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2025

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00671696MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060418000573 NY Part B Supplier - Ambulance Service Supplier 1658380738 Practice locations: Plattsburgh, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2324526City of Plattsburgh Fire Department65 Cornelia St, Plattsburgh, NY 12901Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.