Active NPI
Alexandria Bay Joint Fire District
- Land Ambulance
- Alexandria Bay, NY
National Provider Identifier
1639063548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- ALEXANDRIA BAY JOINT FIRE DISTRICT
- Practice address
- 110 Walton St
Alexandria Bay, NY 13607-1200 - Phone
- (315) 482-2121
- NPI assigned
- Jun 5, 2025
- Last updated
- Jun 5, 2025
- 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
- Cheryl Vanbrocklin
- Title
- EMS Chief
- Phone
- (315) 482-2121
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | NU | Primary |
Addresses
Primary practice location
110 Walton St
Alexandria Bay, NY 13607-1200
Mailing address
110 Walton St
Alexandria Bay, NY 13607-1200
Phone (315) 482-2121
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250819003079 | NY | Part B Supplier - Ambulance Service Supplier | 2365941044 | Practice locations: Alexandria Bay, NY |
National Provider Directory
National Provider DirectoryLocations
110 Walton St
Alexandria Bay, NY 13607
Phone (315) 482-2121
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1749081600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1749081600000",
"number": "1639063548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 WALTON ST",
"city": "ALEXANDRIA BAY",
"state": "NY",
"postal_code": "136071200",
"telephone_number": "315-482-2121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 WALTON ST",
"city": "ALEXANDRIA BAY",
"state": "NY",
"postal_code": "136071200",
"telephone_number": "315-482-2121"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALEXANDRIA BAY JOINT FIRE DISTRICT",
"organizational_subpart": "NO",
"enumeration_date": "2025-06-05",
"last_updated": "2025-06-05",
"certification_date": "2025-06-05",
"status": "A",
"authorized_official_last_name": "VANBROCKLIN",
"authorized_official_first_name": "CHERYL",
"authorized_official_title_or_position": "EMS CHIEF",
"authorized_official_telephone_number": "315-482-2121"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alexandria Bay, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2025; 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.