Ausable Forks Volunteer Ambulance Service Corporation

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

1529 Issued in NY

Legal business name

AUSABLE FORKS VOLUNTEER AMBULANCE SERVICE CORPORATION

Practice address

23 School Lane
Ausable Forks, NY 12912-0835

Phone

(518) 647-8860

Fax

(518) 647-5749

NPI assigned

Oct 13, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Corey Crahan

Title

Chief Operations Officer

Phone

(888) 603-2455

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

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

{
    "created_epoch": "1129161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732665600000",
    "number": "1700874658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8020 E MAIN RD",
            "city": "LE ROY",
            "state": "NY",
            "postal_code": "144829704",
            "telephone_number": "585-768-2192",
            "fax_number": "585-768-7323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 SCHOOL LANE",
            "city": "AUSABLE FORKS",
            "state": "NY",
            "postal_code": "129120835",
            "telephone_number": "518-647-8860",
            "fax_number": "518-647-5749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUSABLE FORKS VOLUNTEER AMBULANCE SERVICE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-13",
        "last_updated": "2024-11-27",
        "certification_date": "2024-11-27",
        "status": "A",
        "authorized_official_last_name": "CRAHAN",
        "authorized_official_first_name": "COREY",
        "authorized_official_title_or_position": "CHIEF OPERATIONS OFFICER",
        "authorized_official_telephone_number": "888-603-2455",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NY",
            "license": "1529",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "590011366",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01697474",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• George P. Najim DDS PC

• Land Ambulance in Ausable Forks, NY
• Providers in Ausable Forks, NY by specialty
• Land Ambulance in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.