Active NPI
Bridgewater Fire Co Inc
- Ambulance
- Bridgewater, NY
National Provider Identifier
1386632784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 3278
- Legal business name
- BRIDGEWATER FIRE CO INC
- Practice address
- 9553 St RT 20
Bridgewater, NY 13313-0365 - Phone
- (315) 822-3161
- Fax
- (315) 822-0143
- NPI assigned
- Oct 10, 2005
- Last updated
- Sep 4, 2008
- 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. Mary Gentile
- Title
- Authorized Agent
- Phone
- (800) 452-8191
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 3278 | NY | Primary |
Addresses
Primary practice location
9553 St RT 20
Bridgewater, NY 13313-0365
Mailing address
PO Box 290184
Wethersfield, CT 06129-0184
Phone (800) 452-8191
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20111209000624 | NY | Part B Supplier - Ambulance Service Supplier | 1254506876 | Practice locations: Bridgewater, NY |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128902400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1220486400000",
"number": "1386632784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 290184",
"city": "WETHERSFIELD",
"state": "CT",
"postal_code": "061290184",
"telephone_number": "800-452-8191",
"fax_number": "860-721-6362"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9553 ST RT 20",
"city": "BRIDGEWATER",
"state": "NY",
"postal_code": "133130365",
"telephone_number": "315-822-3161",
"fax_number": "315-822-0143"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRIDGEWATER FIRE CO INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-10-10",
"last_updated": "2008-09-04",
"status": "A",
"authorized_official_last_name": "GENTILE",
"authorized_official_first_name": "MARY",
"authorized_official_title_or_position": "AUTHORIZED AGENT",
"authorized_official_telephone_number": "800-452-8191",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "NY",
"license": "3278",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.