Active NPI
Superior Ambulance Service Inc
- Ambulance
- Binghamton, NY
National Provider Identifier
1649251067
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 09615
- Legal business name
- SUPERIOR AMBULANCE SERVICE INC
- Practice address
- 46 Exchange St
Binghamton, NY 13901-3804 - Phone
- (607) 772-1458
- Fax
- (607) 724-1441
- NPI assigned
- Nov 11, 2005
- 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. Diane Marie Scott
- Title
- Billing Manager
- Phone
- (607) 723-4554
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 09615 | NY | Primary |
Addresses
Primary practice location
46 Exchange St
Binghamton, NY 13901-3804
Mailing address
PO Box 126 WVS
Binghamton, NY 13905
Phone (800) 969-9722
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00602364 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090608000384 | NY | Part B Supplier - Ambulance Service Supplier | 2860542149 | Practice locations: Binghamton, NY |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D1095121 | Superior Ambulance Service Inc | Certificate of waiver | Mar 26, 2027 |
National Provider Directory
National Provider DirectoryLocations
46 Exchange St
Binghamton, NY 13901
Phone (315) 772-1456
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131667200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1649251067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 126 WVS",
"city": "BINGHAMTON",
"state": "NY",
"postal_code": "13905",
"telephone_number": "800-969-9722",
"fax_number": "800-693-3172"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "46 EXCHANGE ST",
"city": "BINGHAMTON",
"state": "NY",
"postal_code": "139013804",
"telephone_number": "607-772-1458",
"fax_number": "607-724-1441"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUPERIOR AMBULANCE SERVICE INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-11",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SCOTT",
"authorized_official_first_name": "DIANE",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "BILLING MANAGER",
"authorized_official_telephone_number": "607-723-4554",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "NY",
"license": "09615",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00602364",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Binghamton, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.