NPIMap

Organization Active NPI

Oriskany Falls Volunteer Ambulance Corps Inc

  • Land Ambulance
  • Oriskany Falls, NY
National Provider Identifier
1689763583
Registry record updated Jun 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
0743 Issued in NY
Legal business name
ORISKANY FALLS VOLUNTEER AMBULANCE CORPS INC
Practice address
172 Madison Street
Oriskany Falls, NY 13425
Phone
(315) 821-6171
Fax
(315) 821-6171
NPI assigned
Oct 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2013

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

Authorized official

Name
Mr. Russell Petrie
Title
Operations Manager
Phone
(315) 821-3387

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 0743 NY Primary

Addresses

Primary practice location

172 Madison Street
Oriskany Falls, NY 13425

Mailing address

PO Box 4066
Utica, NY 13504-4066
Phone (315) 724-6619

Other identifiers 1

IdentifierTypeStateIssuer
02757459MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370822400000",
    "number": "1689763583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4066",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135044066",
            "telephone_number": "315-724-6619",
            "fax_number": "315-797-2589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "172 MADISON STREET",
            "city": "ORISKANY FALLS",
            "state": "NY",
            "postal_code": "13425",
            "telephone_number": "315-821-6171",
            "fax_number": "315-821-6171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORISKANY FALLS VOLUNTEER AMBULANCE CORPS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2013-06-10",
        "status": "A",
        "authorized_official_last_name": "PETRIE",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "315-821-3387",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NY",
            "license": "0743",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02757459",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oriskany Falls, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.