Active NPI
City of Norwich
- Ambulance
- Norwich, NY
National Provider Identifier
1407839673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 10437
- Legal business name
- CITY OF NORWICH
- Practice address
- 31 E Main St
Norwich, NY 13815-1893 - Phone
- (607) 334-1213
- NPI assigned
- Nov 22, 2005
- Last updated
- Mar 29, 2023
- 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
- Deana Dufour
- Title
- Director of Finance
- Phone
- (607) 334-1234
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 10437 | NY | Primary |
Addresses
Primary practice location
31 E Main St
Norwich, NY 13815-1893
Mailing address
PO Box 535
Baldwinsville, NY 13027-0535
Phone (315) 635-1789
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01778385 | Medicaid | NY | |
| 590011869 | Other | PALMETTO GBA-RAILROAD | |
| 966193 | Other | MVP | |
| 10030390 | Other | CDPHP | |
| 3200205 | Other | GHI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100112000469 | NY | Part B Supplier - Ambulance Service Supplier | 7810038924 | Practice locations: Norwich, 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 |
|---|---|---|---|
| 33D2311311 | City of Norwich Fire Department | Certificate of waiver | Mar 26, 2027 |
National Provider Directory
National Provider DirectoryLocations
1 City Plz
Norwich, NY 13815
31 E Main St
Norwich, NY 13815
Phone (607) 334-1213
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132617600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1680048000000",
"number": "1407839673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 535",
"city": "BALDWINSVILLE",
"state": "NY",
"postal_code": "130270535",
"telephone_number": "315-635-1789",
"fax_number": "315-635-3289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31 E MAIN ST",
"city": "NORWICH",
"state": "NY",
"postal_code": "138151893",
"telephone_number": "607-334-1213"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CITY OF NORWICH",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-22",
"last_updated": "2023-03-29",
"certification_date": "2023-03-29",
"status": "A",
"authorized_official_last_name": "DUFOUR",
"authorized_official_first_name": "DEANA",
"authorized_official_title_or_position": "DIRECTOR OF FINANCE",
"authorized_official_telephone_number": "607-334-1234"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "NY",
"license": "10437",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01778385",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETTO GBA-RAILROAD",
"identifier": "590011869",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP",
"identifier": "966193",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CDPHP",
"identifier": "10030390",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "3200205",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Norwich, NY
- Chenango Therapeutics
- Chenango Valley Adult Enrichment Center (Chenango Valley Home & Apartments)
- Chenango Vision Center, Inc.
- Bethann Lee Chrisbacher
- Anthony D Cicoria, MD
- Nancy Cole
- Kerry Elizabeth Coleman, LCSW
- Kelly L Collins-Colosi, LMSW
- Katherine J. Colloca Bowen, LMSW
- Comprehensive Performance Physical Therapy PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2023; 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.