Organization Active NPI

TLC Medical Transport SVCS Inc

  • Land Ambulance
  • Syracuse, NY
National Provider Identifier
1609199066
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
13302 Issued in NY
Legal business name
TLC MEDICAL TRANSPORT SVCS INC
Practice address
638 Burnet Ave
EMS Billing Office
Syracuse, NY 13203-2404
Phone
(315) 422-0211
Fax
(315) 635-3289
NPI assigned
Mar 12, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2024

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

Authorized official

Name
Mr. David J. Butler
Title
President
Phone
(315) 422-0211

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 13302 NY Primary

Addresses

Primary practice location

638 Burnet Ave
EMS Billing Office
Syracuse, NY 13203-2404

Mailing address

21 Oswego St
PO Box 535
Baldwinsville, NY 13027-0535
Phone (800) 927-5845

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100702000143 NY Part B Supplier - Ambulance Service Supplier 0941331128 Practice locations: Syracuse, NY; Nedrow, NY

National Provider Directory

National Provider Directory
Tax ID family
TLC Medical Transport SVCS Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6505 S Salina St
Nedrow, NY 13120
Phone (315) 422-0211

4701 Peregrine Way
Syracuse, NY 13215

4596 Nixon Park Dr
Ste 2
Syracuse, NY 13215
Phone (315) 422-0211

638 Burnet Ave
Ofc
Syracuse, NY 13203
Phone (315) 422-0211

4831 Velasko Rd
Syracuse, NY 13215
Phone (315) 422-0211

NPI Registry JSON

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

{
    "created_epoch": "1268352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722816000000",
    "number": "1609199066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 OSWEGO ST",
            "address_2": "PO BOX 535",
            "city": "BALDWINSVILLE",
            "state": "NY",
            "postal_code": "130270535",
            "telephone_number": "800-927-5845",
            "fax_number": "315-635-3289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "638 BURNET AVE",
            "address_2": "EMS BILLING OFFICE",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132032404",
            "telephone_number": "315-422-0211",
            "fax_number": "315-635-3289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TLC MEDICAL TRANSPORT SVCS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-12",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "315-422-0211",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NY",
            "license": "13302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.