Organization Active NPI

Rensselaer Volunteer Ambulance Service Inc

  • Ambulance
  • Rensselaer, NY
National Provider Identifier
1699844175
Registry record updated Dec 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
4114 Issued in NY
Legal business name
RENSSELAER VOLUNTEER AMBULANCE SERVICE INC
Practice address
901 3Rd St
Rensselaer, NY 12144-2116
Phone
(518) 427-8515
NPI assigned
Nov 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2011

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

Authorized official

Name
Mr. Dean Myers
Title
Board Member
Phone
(518) 427-8515

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 4114 NY Primary

Addresses

Primary practice location

901 3Rd St
Rensselaer, NY 12144-2116

Mailing address

4 Cortland Dr
Albany, NY 12211-1319
Phone (888) 603-2455

Other identifiers 1

IdentifierTypeStateIssuer
01368487MedicaidNY

National Provider Directory

National Provider Directory

Locations

901 3rd St
Rensselaer, NY 12144
Phone (518) 427-8515

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325203200000",
    "number": "1699844175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 CORTLAND DR",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122111319",
            "telephone_number": "888-603-2455",
            "fax_number": "888-603-2455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 3RD ST",
            "city": "RENSSELAER",
            "state": "NY",
            "postal_code": "121442116",
            "telephone_number": "518-427-8515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENSSELAER VOLUNTEER AMBULANCE SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2011-12-30",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "DEAN",
        "authorized_official_title_or_position": "BOARD MEMBER",
        "authorized_official_telephone_number": "518-427-8515",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NY",
            "license": "4114",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01368487",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rensselaer, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2011; 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.