Organization Active NPI

Central Oneida County Volunteer Ambulance Corps.

  • Land Ambulance
  • Clinton, NY
National Provider Identifier
1659316669
Registry record updated Jan 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
CENTRAL ONEIDA COUNTY VOLUNTEER AMBULANCE CORPS.
Practice address
7489 E South St
Clinton, NY 13323-3718
Phone
(315) 853-2118
Fax
(315) 853-2611
NPI assigned
Jun 17, 2006
Last updated
Jan 23, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2017

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

Authorized official

Name
Mr. Dean Dzwonkas
Title
President
Phone
(315) 853-2118

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

7489 E South St
Clinton, NY 13323-3718

Mailing address

892 New Castle Rd
Slippery Rock, PA 16057-4228
Phone (800) 280-5974

Other identifiers 3

IdentifierTypeStateIssuer
01644146MedicaidNY
955362OtherNYMOHAWH VALLEY PHYSICAN
1644146MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120213000147 NY Part B Supplier - Ambulance Service Supplier 0840457347 Practice locations: Clinton, NY

National Provider Directory

National Provider Directory

Locations

7489 E South St
Clinton, NY 13323
Phone (315) 853-2118

NPI Registry JSON

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485129600000",
    "number": "1659316669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "892 NEW CASTLE RD",
            "city": "SLIPPERY ROCK",
            "state": "PA",
            "postal_code": "160574228",
            "telephone_number": "800-280-5974",
            "fax_number": "724-794-1633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7489 E SOUTH ST",
            "city": "CLINTON",
            "state": "NY",
            "postal_code": "133233718",
            "telephone_number": "315-853-2118",
            "fax_number": "315-853-2611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL ONEIDA COUNTY VOLUNTEER AMBULANCE CORPS.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-17",
        "last_updated": "2017-01-23",
        "status": "A",
        "authorized_official_last_name": "DZWONKAS",
        "authorized_official_first_name": "DEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "315-853-2118",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01644146",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MOHAWH VALLEY PHYSICAN",
            "identifier": "955362",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1644146",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2017; 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.