Organization Active NPI

North Salem Volunteer Ambulance Corps

  • Land Ambulance
  • North Salem, NY
National Provider Identifier
1538128996
Registry record updated Jan 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
NORTH SALEM VOLUNTEER AMBULANCE CORPS
Practice address
14 Daniel Rd
North Salem, NY 10560-1036
Phone
(914) 277-4944
NPI assigned
Mar 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2024

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

Authorized official

Name
Kurt Guldan
Title
President
Phone
(914) 277-4944

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 10247 NY
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

14 Daniel Rd
North Salem, NY 10560-1036

Mailing address

14 Daniel Rd
North Salem, NY 10560-1036
Phone (914) 277-4944

Other identifiers 4

IdentifierTypeStateIssuer
590012012OtherRR MEDICARE
01863318MedicaidNY
9611701OtherGHI
347614OtherMVP

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091119000525 NY Part B Supplier - Ambulance Service Supplier 5698814283 Practice locations: North Salem, NY

National Provider Directory

National Provider Directory

Locations

14 Daniel Rd
North Salem, NY 10560
Phone (314) 277-4944

NPI Registry JSON

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

{
    "created_epoch": "1142985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706572800000",
    "number": "1538128996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 DANIEL RD",
            "city": "NORTH SALEM",
            "state": "NY",
            "postal_code": "105601036",
            "telephone_number": "914-277-4944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 DANIEL RD",
            "city": "NORTH SALEM",
            "state": "NY",
            "postal_code": "105601036",
            "telephone_number": "914-277-4944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SALEM VOLUNTEER AMBULANCE CORPS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-22",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A",
        "authorized_official_last_name": "GULDAN",
        "authorized_official_first_name": "KURT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "914-277-4944"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NY",
            "license": "10247",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "590012012",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01863318",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "9611701",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "347614",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Salem, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2024; 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.