Active NPI
Rensselaer Volunteer Ambulance Service Inc
- Ambulance
- Rensselaer, NY
National Provider Identifier
1699844175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 4114
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01368487 | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
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.