Organization Active NPI

William Paul Faist Volunteer Ambulance Corps

  • Ambulance
  • Chestnut Ridge, NY
National Provider Identifier
1437191012
Registry record updated Apr 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
WILLIAM PAUL FAIST VOLUNTEER AMBULANCE CORPS
Practice address
3 Red Schoolhouse Rd
Chestnut Ridge, NY 10977-6738
Phone
(845) 352-4556
NPI assigned
Jun 11, 2006
Last updated
Apr 20, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2009

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

Authorized official

Name
Cecil Ann Simmons
Title
Chairwoman of the Board
Phone
(845) 352-4556

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X Primary

Addresses

Primary practice location

3 Red Schoolhouse Rd
Chestnut Ridge, NY 10977-6738

Mailing address

PO Box 531
Orangeburg, NY 10962-0531
Phone (610) 401-2041

Other identifiers 1

IdentifierTypeStateIssuer
01435047MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090507000180 NY Part B Supplier - Ambulance Service Supplier 0345398012 Practice locations: Chestnut Ridge, 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
33D2305654William Paul Faist Volunteer Ambulance Corps3 Red Schoolhouse Rd, Chestnut Ridge, NY 10977Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

Locations

3 Red Schoolhouse Rd
Chestnut Ridge, NY 10977
Phone (845) 352-4556

NPI Registry JSON

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240185600000",
    "number": "1437191012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 531",
            "city": "ORANGEBURG",
            "state": "NY",
            "postal_code": "109620531",
            "telephone_number": "610-401-2041",
            "fax_number": "610-401-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 RED SCHOOLHOUSE RD",
            "city": "CHESTNUT RIDGE",
            "state": "NY",
            "postal_code": "109776738",
            "telephone_number": "845-352-4556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM PAUL FAIST VOLUNTEER AMBULANCE CORPS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2009-04-20",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "CECIL",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CHAIRWOMAN OF THE BOARD",
        "authorized_official_telephone_number": "845-352-4556"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01435047",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chestnut Ridge, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2009; 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.