Stillwater Ambulance Fund Inc

Primary specialty

AmbulanceTaxonomy code 341600000X

License

10630 Issued in NY

Legal business name

STILLWATER AMBULANCE FUND INC

Practice address

283 N Hudson Ave
Stillwater, NY 12170

Phone

(518) 664-8012

NPI assigned

Jul 11, 2006

Last updated

Jul 24, 2013By 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

Carolyn M Hayner

Title

Treasurer

Phone

(518) 664-8012

Specialties & licenses 1

Addresses

Other identifiers 6

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374624000000",
    "number": "1720013329",
    "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": "283 N HUDSON AVE",
            "city": "STILLWATER",
            "state": "NY",
            "postal_code": "12170",
            "telephone_number": "518-664-8012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STILLWATER AMBULANCE FUND INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2013-07-24",
        "status": "A",
        "authorized_official_last_name": "HAYNER",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "518-664-8012"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NY",
            "license": "10630",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "394213",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDPHP",
            "identifier": "10071542",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA RR MEDICARE",
            "identifier": "P00060121",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02382474",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "9727377",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NENY",
            "identifier": "000407131001",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Sargent
• Seton Health System, Inc.
• Amit Sharma, FNP
• Dorothy Eva Sisto, PA-C
• Jacquline Marie Snyder, LPN
• Stillwater Central School District
• Shawna A Turcotte, PSYD
• Carly Rose Ward, LMHC
• Kylie Welcome, OTR/L
• Amanda Wilmot

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.