Organization Active NPI

Alexandria Bay Joint Fire District

  • Land Ambulance
  • Alexandria Bay, NY
National Provider Identifier
1639063548
Registry record updated Jun 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2025

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
O20250819003079 NY Part B Supplier - Ambulance Service Supplier 2365941044 Practice locations: Alexandria Bay, NY

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.