Richmondville Volunteer Emergency Squad Inc

Primary specialty

AmbulanceTaxonomy code 341600000X

License

4726 Issued in NY

Legal business name

RICHMONDVILLE VOLUNTEER EMERGENCY SQUAD INC

Practice address

388 Main Street
Richmondville, NY 12149-0011

Phone

(518) 294-8888

Fax

(601) 538-1539

NPI assigned

Oct 11, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Mary T Gentile

Title

Authorized Agent

Phone

(860) 257-7080

Specialties & licenses 1

Addresses

Other identifiers 2

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

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

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291248000000",
    "number": "1710975180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 290184",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061290184",
            "telephone_number": "800-452-8191",
            "fax_number": "860-721-6362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "388 MAIN STREET",
            "city": "RICHMONDVILLE",
            "state": "NY",
            "postal_code": "121490011",
            "telephone_number": "518-294-8888",
            "fax_number": "601-538-1539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHMONDVILLE VOLUNTEER EMERGENCY SQUAD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-11",
        "last_updated": "2010-12-02",
        "status": "A",
        "authorized_official_last_name": "GENTILE",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "AUTHORIZED AGENT",
        "authorized_official_telephone_number": "860-257-7080",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NY",
            "license": "4726",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590008812",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01297447",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maranatha Family Center, LLC
• Northland Hearing Center, Inc.
• Northland Hearing Centers, Inc.
• Precision Physical Therapy and Sports Medicine PLLC
• Richmondville Family Dental Practice, PLLC.
• Ann Roe, RN
• Siri Young, LCSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2010; 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.