NPIMap

Organization Active NPI

Mid-County Volunteer Ambulance Service, Inc.

  • Ambulance
  • Palatine Bridge, NY
National Provider Identifier
1386932614
Registry record updated Jul 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
2813 Issued in NY
Legal business name
MID-COUNTY VOLUNTEER AMBULANCE SERVICE, INC.
Practice address
46 West Grand Street
Palatine Bridge, NY 13428
Phone
(518) 673-2039
Fax
(518) 673-3106
NPI assigned
Jul 20, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2011

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

Authorized official

Name
Matthew F Lacomb, AEMT-P
Title
President
Phone
(518) 673-2039

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 2813 NY Primary

Addresses

Primary practice location

46 West Grand Street
Palatine Bridge, NY 13428

Mailing address

PO Box 453
Palatine Bridge, NY 13428-0453
Phone (518) 673-2039

National Provider Directory

National Provider Directory
Tax ID family
Mid-County Volunteer Ambulance Service Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

46 W Grand St
Palatine Bridge, NY 13428
Phone (518) 673-2039

NPI Registry JSON

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

{
    "created_epoch": "1311120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311120000000",
    "number": "1386932614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 453",
            "city": "PALATINE BRIDGE",
            "state": "NY",
            "postal_code": "134280453",
            "telephone_number": "518-673-2039",
            "fax_number": "518-673-3106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 WEST GRAND STREET",
            "city": "PALATINE BRIDGE",
            "state": "NY",
            "postal_code": "13428",
            "telephone_number": "518-673-2039",
            "fax_number": "518-673-3106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-COUNTY VOLUNTEER AMBULANCE SERVICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-20",
        "last_updated": "2011-07-20",
        "status": "A",
        "authorized_official_last_name": "LACOMB",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "518-673-2039",
        "authorized_official_credential": "AEMT-P"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NY",
            "license": "2813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palatine Bridge, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.