Organization Active NPI

Yorktown Volunteer Ambulance Corps Inc

  • Ambulance
  • Yorktown Heights, NY
National Provider Identifier
1730265638
Registry record updated Dec 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
10578 Issued in NY
Legal business name
YORKTOWN VOLUNTEER AMBULANCE CORPS INC
Practice address
2600 Loretta St
Yorktown Heights, NY 10598-2926
Phone
(914) 245-1267
Fax
(914) 245-3395
NPI assigned
Oct 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2023

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

Authorized official

Name
Tina Harbach
Title
Chairman Board Directors
Phone
(914) 245-1267

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 10578 NY Primary

Addresses

Primary practice location

2600 Loretta St
Yorktown Heights, NY 10598-2926

Mailing address

PO Box 535
Baldwinsville, NY 13027-0535
Phone (315) 635-1789

Other identifiers 4

IdentifierTypeStateIssuer
953950OtherMVP
3200118OtherGHI
01365860MedicaidNY
59007362OtherPALMETTO GBA RR MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120214000313 NY Part B Supplier - Ambulance Service Supplier 9537326913 Practice locations: Yorktown Heights, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2258487Yorktown Volunteer Ambulance Corps Inc2600 Loretta St, Yorktown Heights, NY 10598Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

Locations

2600 Loretta St
Yorktown Heights, NY 10598
Phone (914) 245-1267

NPI Registry JSON

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703030400000",
    "number": "1730265638",
    "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": "2600 LORETTA ST",
            "city": "YORKTOWN HEIGHTS",
            "state": "NY",
            "postal_code": "105982926",
            "telephone_number": "914-245-1267",
            "fax_number": "914-245-3395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YORKTOWN VOLUNTEER AMBULANCE CORPS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-31",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A",
        "authorized_official_last_name": "HARBACH",
        "authorized_official_first_name": "TINA",
        "authorized_official_title_or_position": "CHAIRMAN BOARD DIRECTORS",
        "authorized_official_telephone_number": "914-245-1267"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NY",
            "license": "10578",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "953950",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "3200118",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01365860",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA RR MEDICARE",
            "identifier": "59007362",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yorktown Heights, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2023; 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.