Organization Active NPI

Southern Madison County Volunteer Ambulance Corps Inc

  • Ambulance
  • Hamilton, NY
National Provider Identifier
1720126782
Registry record updated Mar 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
2619 Issued in NY
Legal business name
SOUTHERN MADISON COUNTY VOLUNTEER AMBULANCE CORPS INC
Practice address
86 Lebanon St
Hamilton, NY 13346-1207
Phone
(315) 824-6867
Fax
(315) 824-6868
NPI assigned
Feb 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2014

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

Authorized official

Name
Mr. Tim Collins
Title
Business Administrator
Phone
(315) 651-0301

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 2619 NY Primary

Addresses

Primary practice location

86 Lebanon St
Hamilton, NY 13346-1207

Mailing address

PO Box 4066
Utica, NY 13504-4066
Phone (315) 724-6619

Other identifiers 1

IdentifierTypeStateIssuer
01142410MedicaidNY

National Provider Directory

National Provider Directory

Locations

86 Lebanon St
Hamilton, NY 13346
Phone (315) 824-6867

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395964800000",
    "number": "1720126782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4066",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135044066",
            "telephone_number": "315-724-6619",
            "fax_number": "315-797-2589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86 LEBANON ST",
            "city": "HAMILTON",
            "state": "NY",
            "postal_code": "133461207",
            "telephone_number": "315-824-6867",
            "fax_number": "315-824-6868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN MADISON COUNTY VOLUNTEER AMBULANCE CORPS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2014-03-28",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "TIM",
        "authorized_official_title_or_position": "BUSINESS ADMINISTRATOR",
        "authorized_official_telephone_number": "315-651-0301",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NY",
            "license": "2619",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01142410",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2014; 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.