Organization 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
Registry record updated Jul 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
36463 Issued in NY
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

Updated by the provider on Jul 19, 2013

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
02679927MedicaidNY

Other names 1

  • AMPA COACH AMBUETTE Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.