Organization Active NPI

Willsboro-Essex EMS Inc.

  • Ambulance
  • Essex, NY
National Provider Identifier
1710332820
Registry record updated May 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
32219 Issued in NY
Legal business name
WILLSBORO-ESSEX EMS INC.
Practice address
2659 Nys Route 22
Essex, NY 12936-9998
Phone
(518) 569-1224
NPI assigned
Apr 26, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2016

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

Authorized official

Name
Rebecca Lynn Cowningshield
Title
Captain
Phone
(518) 963-8949

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 32219 NY Primary

Addresses

Primary practice location

2659 Nys Route 22
Essex, NY 12936-9998

Mailing address

107 Washington Ave
Albany, NY 12210-2269
Phone (518) 963-8949

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160826001706 NY Part B Supplier - Ambulance Service Supplier 8527351816 Practice locations: Essex, NY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1461628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462233600000",
    "number": "1710332820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 WASHINGTON AVE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122102269",
            "telephone_number": "518-963-8949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2659 NYS ROUTE 22",
            "city": "ESSEX",
            "state": "NY",
            "postal_code": "129369998",
            "telephone_number": "518-569-1224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLSBORO-ESSEX EMS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-26",
        "last_updated": "2016-05-03",
        "status": "A",
        "authorized_official_last_name": "COWNINGSHIELD",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CAPTAIN",
        "authorized_official_telephone_number": "518-963-8949"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NY",
            "license": "32219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Essex, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2016; 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.