Village of Sherburne
Organization Active NPI Ambulance · Sherburne, NY
NPI 1710214440 · NPPES record last updated Dec 20, 2023
Key facts
- NPI
- 1710214440
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ambulance 341600000X
- License
- 11240 (NY)
- Legal business name
- VILLAGE OF SHERBURNE
- Practice address
- 15 W State St
Sherburne, NY 13460-9800 - Phone
- (607) 674-2300
- Fax
- (607) 674-4149
- NPI assigned
- Nov 18, 2009
- Organization subpart
- No
Authorized official
- Name
- William Acee
- Title
- Mayor
- Phone
- (607) 674-2300
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100107000266 | NY | Part B Supplier - Ambulance Service Supplier | 1052452430 | Practice locations: Sherburne, NY |
National Provider Directory
Locations
15 W State St
Sherburne, NY 13460
Phone (607) 674-2300
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 11240 | NY | Yes |
Addresses
Primary practice location
15 W State St
Sherburne, NY 13460-9800
Mailing address
PO Box 535
Baldwinsville, NY 13027-0535
Phone (315) 635-1789
Other providers in Sherburne, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 20, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.