Active NPI
Yorktown Volunteer Ambulance Corps Inc
- Ambulance
- Yorktown Heights, NY
National Provider Identifier
1730265638
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 10578
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 953950 | Other | MVP | |
| 3200118 | Other | GHI | |
| 01365860 | Medicaid | NY | |
| 59007362 | Other | PALMETTO GBA RR MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120214000313 | NY | Part B Supplier - Ambulance Service Supplier | 9537326913 | Practice locations: Yorktown Heights, NY |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D2258487 | Yorktown Volunteer Ambulance Corps Inc | Certificate of waiver | Mar 26, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.