Active NPI
Bethel Volunteer Ambulance Corp Inc
- Land Ambulance
- White Lake, NY
National Provider Identifier
1487338067
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- BETHEL VOLUNTEER AMBULANCE CORP INC
- Practice address
- 3452 State Route 55
White Lake, NY 12786 - Phone
- (845) 583-5004
- NPI assigned
- Jun 14, 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
- Bette Jean Gettel
- Title
- Secretary/Treasurer
- Phone
- (845) 807-2273
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Primary |
Addresses
Primary practice location
3452 State Route 55
White Lake, NY 12786
Mailing address
PO Box 535
Baldwinsville, NY 13027-0535
Phone (800) 927-5845
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230821000368 | NY | Part B Supplier - Ambulance Service Supplier | 2567824725 | Practice locations: White Lake, 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 |
|---|---|---|---|
| 33D2332435 | Bethel Volunteer Ambulance Corps Inc | Certificate of waiver | Mar 26, 2027 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686700800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1704931200000",
"number": "1487338067",
"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": "800-927-5845",
"fax_number": "315-635-3289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3452 STATE ROUTE 55",
"city": "WHITE LAKE",
"state": "NY",
"postal_code": "12786",
"telephone_number": "845-583-5004"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BETHEL VOLUNTEER AMBULANCE CORP INC",
"organizational_subpart": "NO",
"enumeration_date": "2023-06-14",
"last_updated": "2024-01-11",
"certification_date": "2024-01-11",
"status": "A",
"authorized_official_last_name": "GETTEL",
"authorized_official_first_name": "BETTE JEAN",
"authorized_official_title_or_position": "SECRETARY/TREASURER",
"authorized_official_telephone_number": "845-807-2273"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in White Lake, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2024; 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.