Spencerport Volunteer Ambulance Service Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

2735 Issued in NY

Legal business name

SPENCERPORT VOLUNTEER AMBULANCE SERVICE INC

Practice address

116 Lyell Ave
Spencerport, NY 14559-1812

Phone

(585) 768-2192

NPI assigned

Feb 28, 2006

Organization subpart

No

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

Authorized official

Name

Julie Tewksbury

Title

President

Phone

(585) 768-2192

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1141084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361923200000",
    "number": "1689640559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8020 E MAIN RD",
            "city": "LE ROY",
            "state": "NY",
            "postal_code": "144829704",
            "telephone_number": "585-768-2192",
            "fax_number": "585-768-7323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 LYELL AVE",
            "city": "SPENCERPORT",
            "state": "NY",
            "postal_code": "145591812",
            "telephone_number": "585-768-2192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPENCERPORT VOLUNTEER AMBULANCE SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-28",
        "last_updated": "2013-02-27",
        "status": "A",
        "authorized_official_last_name": "TEWKSBURY",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "585-768-2192"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NY",
            "license": "2735",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01667312",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MONROE PLAN",
            "identifier": "PSPENCERPAM",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Spencerport Family Apothecary, LLC
• Spencerport Family Eye Care
• Spencerport Family Eyecare
• Spencerport School District
• Spencerport Schools
• Alyssa Staggert, LPN
• George R Stefanos II, MD
• Karen Lynn Stein, RN
• Lee Ann Streicher, M.A. CCC-SLP/L
• Barbara Morse Swanson, RN, MSN, FNP

• Land Ambulance in Spencerport, NY
• Providers in Spencerport, NY by specialty
• Land Ambulance in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.