Active NPI
Broadalbin Volunteer Ambulance Corp, Inc
- Ambulance
- Broadalbin, NY
National Provider Identifier
1609073352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 1716
- Legal business name
- BROADALBIN VOLUNTEER AMBULANCE CORP, INC
- Practice address
- 8 Center Street
Broadalbin, NY 12025 - Phone
- (518) 705-3005
- NPI assigned
- Jun 27, 2007
- 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
- Ms. Lisa Pfeiffer
- Title
- President
- Phone
- (518) 705-3005
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 1716 | NY | Primary |
Addresses
Primary practice location
8 Center Street
Broadalbin, NY 12025
Mailing address
PO Box 4066
Utica, NY 13504-4066
Phone (315) 724-6619
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02940852 | Medicaid | NY |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182902400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1391990400000",
"number": "1609073352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4066",
"city": "UTICA",
"state": "NY",
"postal_code": "135044066",
"telephone_number": "315-724-6619",
"fax_number": "315-797-2589"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8 CENTER STREET",
"city": "BROADALBIN",
"state": "NY",
"postal_code": "12025",
"telephone_number": "518-705-3005"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BROADALBIN VOLUNTEER AMBULANCE CORP, INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-27",
"last_updated": "2014-02-10",
"status": "A",
"authorized_official_last_name": "PFEIFFER",
"authorized_official_first_name": "LISA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "518-705-3005",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "NY",
"license": "1716",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02940852",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Broadalbin, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.