Organization Active NPI

Broadalbin Volunteer Ambulance Corp, Inc

  • Ambulance
  • Broadalbin, NY
National Provider Identifier
1609073352
Registry record updated Feb 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
1716 Issued in NY
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

Updated by the provider on Feb 10, 2014

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
02940852MedicaidNY

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.