Boonville Ambulance Inc.

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

0719 Issued in NY

Legal business name

BOONVILLE AMBULANCE INC.

Practice address

114 Church St
Boonville, NY 13309-1340

Phone

(585) 768-2192

NPI assigned

Mar 1, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dave Pritchard

Title

Chief

Phone

(585) 768-2192

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1141171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1336116144",
    "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": "114 CHURCH ST",
            "city": "BOONVILLE",
            "state": "NY",
            "postal_code": "133091340",
            "telephone_number": "585-768-2192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOONVILLE AMBULANCE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-01",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "PRITCHARD",
        "authorized_official_first_name": "DAVE",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "585-768-2192"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NY",
            "license": "0719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adirondack Eyecare Center Inc (Adirondack EyeCare Inc)
• Patricia Bates, RN, NP
• Hannah Beasock
• Sandra Patrick Beasock, P.T.
• Leah Boek, MSN FNP-BC
• Tracy Bova
• Katrina Denise Brownell, LPN
• Thomas Nicholas Caruso, DDS
• Mandi Ann Croniser, N.D.
• Melissa Damuth

• Land Ambulance in Boonville, NY
• Providers in Boonville, NY by specialty
• Land Ambulance in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.

Verify at the official NPI Registry.