Village of Ilion

Primary specialty

AmbulanceTaxonomy code 341600000X

License

31100 Issued in NY

Legal business name

VILLAGE OF ILION

Practice address

49 Morgan St.
Ilion, NY 13357-1714

Phone

(315) 894-6048

Fax

(315) 895-4001

NPI assigned

Oct 26, 2005

Last updated

May 28, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Marijo Rice

Title

Village Treasurer

Phone

(315) 895-7449

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716854400000",
    "number": "1710977103",
    "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": "49 MORGAN ST.",
            "city": "ILION",
            "state": "NY",
            "postal_code": "133571714",
            "telephone_number": "315-894-6048",
            "fax_number": "315-895-4001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE OF ILION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-26",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A",
        "authorized_official_last_name": "RICE",
        "authorized_official_first_name": "MARIJO",
        "authorized_official_title_or_position": "VILLAGE TREASURER",
        "authorized_official_telephone_number": "315-895-7449"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NY",
            "license": "31100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590009796",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01505320",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Sutton, LPN
• Kristen Tobiason, LMSW
• Benjamin Michael Tubert, PHARMD.
• Krishna Kumar Vadlamudi, M.D.
• Michele Lynn Vandawalker
• Patricia A Wagner, RPH
• Walgreen Co (Walgreens #17603)
• Bodhwatie White
• Rhonda Lee White, REGISTERED NURSE
• Woolner Family Eyecare, O.D., P.C.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 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.