Vestal Volunteer Emergency Squad Inc

Primary specialty

AmbulanceTaxonomy code 341600000X

License

10161 Issued in NY

Legal business name

VESTAL VOLUNTEER EMERGENCY SQUAD INC

Practice address

324 Myrtle St
Vestal, NY 13850

Phone

(607) 748-6618

Fax

(607) 786-7610

NPI assigned

Nov 11, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Diane Marie Scott

Title

Billing Manager

Phone

(607) 723-4554

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

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

{
    "created_epoch": "1131667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497736821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 126 WVS",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "13905",
            "telephone_number": "800-969-9722",
            "fax_number": "800-693-3172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 MYRTLE ST",
            "city": "VESTAL",
            "state": "NY",
            "postal_code": "13850",
            "telephone_number": "607-748-6618",
            "fax_number": "607-786-7610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VESTAL VOLUNTEER EMERGENCY SQUAD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "607-723-4554",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NY",
            "license": "10161",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01702381",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vestal Chiropractic Center
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• VJNH, Inc. (Vestal Nursing Center)
• VRNC LLC (Vestal Rehabilitation & Nursing Center)
• Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-1835)

• Ambulance in Vestal, NY
• Providers in Vestal, NY by specialty
• Ambulance in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.