Active NPI
Francis Agbo D/B/a Ampa Coach Ambuette
Doing business as Ampa Coach Ambuette
- Non-emergency Medical Transport (VAN)
- Warwick, NY
National Provider Identifier
1538501523
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- License
- 36463
- Legal business name
- FRANCIS AGBO D/B/A AMPA COACH AMBUETTE
- Doing business as
- Ampa Coach Ambuette
- Practice address
- 65 Main St
Suite 203
Warwick, NY 10990-1346 - Phone
- (800) 790-3660
- NPI assigned
- Jul 19, 2013
- 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
- Mr. Francis Agbo
- Title
- Owner
- Phone
- (800) 790-3660
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | 36463 | NY | Primary |
Addresses
Primary practice location
65 Main St
Suite 203
Warwick, NY 10990-1346
Mailing address
PO Box 908
Warwick, NY 10990-0908
Phone (800) 790-3660
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02679927 | Medicaid | NY |
Other names 1
- AMPA COACH AMBUETTE
National Provider Directory
National Provider DirectoryLocations
65 Main St
Ste 203
Warwick, NY 10990
Phone (800) 790-3660
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374192000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1374192000000",
"number": "1538501523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 908",
"city": "WARWICK",
"state": "NY",
"postal_code": "109900908",
"telephone_number": "800-790-3660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "65 MAIN ST",
"address_2": "SUITE 203",
"city": "WARWICK",
"state": "NY",
"postal_code": "109901346",
"telephone_number": "800-790-3660"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FRANCIS AGBO D/B/A AMPA COACH AMBUETTE",
"organizational_subpart": "NO",
"enumeration_date": "2013-07-19",
"last_updated": "2013-07-19",
"status": "A",
"authorized_official_last_name": "AGBO",
"authorized_official_first_name": "FRANCIS",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "800-790-3660",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": "NY",
"license": "36463",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02679927",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "AMPA COACH AMBUETTE",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Warwick, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.