Garrison Volunteer Ambulance Corp
Organization Active NPI Ambulance · Garrison, NY
NPI 1376533844 · NPPES record last updated Oct 20, 2014
Key facts
- NPI
- 1376533844
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ambulance 341600000X
- License
- 3919 (NY)
- Legal business name
- GARRISON VOLUNTEER AMBULANCE CORP
- Practice address
- 1 Buena Vista Road
Garrison, NY 10524 - Phone
- (845) 424-4401
- Fax
- (845) 424-4167
- NPI assigned
- Oct 26, 2005
- Organization subpart
- No
Authorized official
- Name
- Ms. Patricia Loisele, BOARD OF DIRECTORS
- Title
- Secretary
- Phone
- (917) 825-1600
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D2187917 | Garrison Volunteer Ambulance Corp Inc | Certificate of waiver | Mar 26, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20051110000331 | NY | Part B Supplier - Ambulance Service Supplier | 6406874106 | Practice locations: Garrison, NY |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 3919 | NY | Yes |
Addresses
Primary practice location
1 Buena Vista Road
Garrison, NY 10524
Mailing address
PO Box 121
Garrison, NY 10524
Phone (845) 424-4401
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02709424 | Medicaid | NY |
Other names
- Garrison Volunteer Ambulance First Aid Squad Inc
Other providers in Garrison, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 20, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.