Organization Active NPI

Garrison Volunteer Ambulance Corp

  • Ambulance
  • Garrison, NY
National Provider Identifier
1376533844
Registry record updated Oct 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
3919 Issued in 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
Last updated
Oct 20, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2014

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)CodeLicenseStatePrimary
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 Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051110000331 NY Part B Supplier - Ambulance Service Supplier 6406874106 Practice locations: Garrison, 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
33D2187917Garrison Volunteer Ambulance Corp Inc1 Buena Vista St, Garrison, NY 10524Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.