Organization Active NPI

Scho-Wright Ambulance Service Inc

  • Ambulance
  • Schoharie, NY
National Provider Identifier
1386944957
Registry record updated Jul 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
4724 Issued in NY
Legal business name
SCHO-WRIGHT AMBULANCE SERVICE INC
Practice address
388 Main Street
Schoharie, NY 12157-3202
Phone
(518) 295-7425
Fax
(860) 563-3403
NPI assigned
Oct 28, 2010
Last updated
Jul 11, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2016

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

Authorized official

Name
Mrs. Mary T Gentile
Title
Authorized Official
Phone
(860) 257-7080

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 4724 NY Primary

Addresses

Primary practice location

388 Main Street
Schoharie, NY 12157-3202

Mailing address

PO Box 290184
Wethersfield, CT 06129-0184
Phone (860) 257-7080

Other identifiers 1

IdentifierTypeStateIssuer
03385499MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110131000044 NY Part B Supplier - Ambulance Service Supplier 0446439905 Practice locations: Schoharie, NY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1288224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468195200000",
    "number": "1386944957",
    "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": "860-257-7080",
            "fax_number": "860-563-3403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "388 MAIN STREET",
            "city": "SCHOHARIE",
            "state": "NY",
            "postal_code": "121573202",
            "telephone_number": "518-295-7425",
            "fax_number": "860-563-3403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCHO-WRIGHT AMBULANCE SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-28",
        "last_updated": "2016-07-11",
        "status": "A",
        "authorized_official_last_name": "GENTILE",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "860-257-7080",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NY",
            "license": "4724",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03385499",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Schoharie, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2016; 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.

Verify at the official NPI Registry.