Cato Ira Meridian Victory Ambulance Corps Inc

Primary specialty

AmbulanceTaxonomy code 341600000X

License

09818 Issued in NY

Legal business name

CATO IRA MERIDIAN VICTORY AMBULANCE CORPS INC

Practice address

2496 W Main St
Cato, NY 13033-3171

Phone

(315) 626-3334

Fax

(315) 626-3699

NPI assigned

Dec 21, 2005

Organization subpart

No

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

Authorized official

Name

L Lee Epprecht

Title

Pres

Phone

(315) 626-3334

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

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

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1135123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599091200000",
    "number": "1700862703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 535",
            "city": "BALDWINSVILLE",
            "state": "NY",
            "postal_code": "130270535",
            "telephone_number": "315-635-1789",
            "fax_number": "315-635-3289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2496 W MAIN ST",
            "city": "CATO",
            "state": "NY",
            "postal_code": "130333171",
            "telephone_number": "315-626-3334",
            "fax_number": "315-626-3699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATO IRA MERIDIAN VICTORY AMBULANCE CORPS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-21",
        "last_updated": "2020-09-03",
        "certification_date": "2020-09-03",
        "status": "A",
        "authorized_official_last_name": "EPPRECHT",
        "authorized_official_first_name": "L",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "315-626-3334"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NY",
            "license": "09818",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA RAILROAD",
            "identifier": "490003531",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "319943",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01678115",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brandy Shea Allen, LPN
• Bonnie Lee Bratt, RN
• Carrie Caswell
• Carrie L Caswell, PRIVATE DUTY LPN
• Cato-Meridian Schools-Pupil Personnel
• CMV Pharmacy Inc
• Timothy Patrick Cobb, D.O.
• Walter Wesley Coolbaugh, RPH
• John F Eppolito, MD

• Ambulance in Cato, NY
• Providers in Cato, NY by specialty
• Ambulance in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2020; 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.