Active NPI
Central Oneida County Volunteer Ambulance Corps.
- Land Ambulance
- Clinton, NY
National Provider Identifier
1659316669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- 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, 2017
- 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
- Mr. Dean Dzwonkas
- Title
- President
- Phone
- (315) 853-2118
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01644146 | Medicaid | NY | |
| 955362 | Other | NY | MOHAWH VALLEY PHYSICAN |
| 1644146 | 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 |
|---|---|---|---|---|
| O20120213000147 | NY | Part B Supplier - Ambulance Service Supplier | 0840457347 | Practice locations: Clinton, NY |
National Provider Directory
National Provider DirectoryLocations
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.