Organization Active NPI

The Perinton Volunteer Ambulance Corps Inc

  • Land Ambulance
  • Fairport, NY
National Provider Identifier
1700853579
Registry record updated Apr 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
THE PERINTON VOLUNTEER AMBULANCE CORPS INC
Practice address
1400 Turk Hill Rd
Fairport, NY 14450-8751
Phone
(585) 223-4150
Fax
(585) 223-7300
NPI assigned
Mar 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2022

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

Authorized official

Name
Mike Hoskins
Title
Chief
Phone
(585) 223-4150

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 2730 NY
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

1400 Turk Hill Rd
Fairport, NY 14450-8751

Mailing address

PO Box 16996
Rochester, NY 14616-0996
Phone (585) 563-1112

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051018000341 NY Part B Supplier - Ambulance Service Supplier 1557387784 Practice locations: Fairport, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2122562Perinton Volunteer Ambulance Corps Inc1400 Turk Hill Road, Fairport, NY 14450Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

Locations

1400 Turk Hill Rd
Fairport, NY 14450
Phone (585) 223-4150

NPI Registry JSON

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

{
    "created_epoch": "1141171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649289600000",
    "number": "1700853579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16996",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146160996",
            "telephone_number": "585-563-1112",
            "fax_number": "585-434-3312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 TURK HILL RD",
            "city": "FAIRPORT",
            "state": "NY",
            "postal_code": "144508751",
            "telephone_number": "585-223-4150",
            "fax_number": "585-223-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PERINTON VOLUNTEER AMBULANCE CORPS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-01",
        "last_updated": "2022-04-07",
        "certification_date": "2022-04-07",
        "status": "A",
        "authorized_official_last_name": "HOSKINS",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "585-223-4150"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NY",
            "license": "2730",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairport, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.