Active NPI
Garrison Volunteer Ambulance Corp
- Ambulance
- Garrison, NY
National Provider Identifier
1376533844
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 3919
- 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
- Last updated
- Oct 20, 2014
- 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
- Ms. Patricia Loisele, BOARD OF DIRECTORS
- Title
- Secretary
- Phone
- (917) 825-1600
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 3919 | NY | Primary |
Addresses
Primary practice location
1 Buena Vista Road
Garrison, NY 10524
Mailing address
PO Box 121
Garrison, NY 10524
Phone (845) 424-4401
Other names 1
- Garrison Volunteer Ambulance First Aid Squad Inc
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20051110000331 | NY | Part B Supplier - Ambulance Service Supplier | 6406874106 | Practice locations: Garrison, 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 |
|---|---|---|---|
| 33D2187917 | Garrison Volunteer Ambulance Corp Inc | Certificate of waiver | Mar 26, 2027 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130284800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1413763200000",
"number": "1376533844",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 121",
"city": "GARRISON",
"state": "NY",
"postal_code": "10524",
"telephone_number": "845-424-4401",
"fax_number": "845-424-4167"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 BUENA VISTA ROAD",
"city": "GARRISON",
"state": "NY",
"postal_code": "10524",
"telephone_number": "845-424-4401",
"fax_number": "845-424-4167"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GARRISON VOLUNTEER AMBULANCE CORP",
"organizational_subpart": "NO",
"enumeration_date": "2005-10-26",
"last_updated": "2014-10-20",
"status": "A",
"authorized_official_last_name": "LOISELE",
"authorized_official_first_name": "PATRICIA",
"authorized_official_title_or_position": "SECRETARY",
"authorized_official_telephone_number": "917-825-1600",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "BOARD OF DIRECTORS"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "NY",
"license": "3919",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Garrison Volunteer Ambulance First Aid Squad Inc",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Garrison, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 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.