Active NPI
Lagrange Fire District
- Land Ambulance
- Poughkeepsie, NY
National Provider Identifier
1730667734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- LAGRANGE FIRE DISTRICT
- Practice address
- 504 Freedom Plains Road
Poughkeepsie, NY 12603-2678 - Phone
- (845) 471-4693
- Fax
- (845) 452-3349
- NPI assigned
- Aug 1, 2018
- 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
- Mr. Richard Sassi
- Title
- Fire Commissioner
- Phone
- (845) 452-4998
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | 1319 | NY | |
| Land Ambulance | 3416L0300X | Primary |
Addresses
Primary practice location
504 Freedom Plains Road
Poughkeepsie, NY 12603-2678
Mailing address
504 Freedom Plains Road
Poughkeepsie, NY 12603-2678
Phone (845) 471-4693
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20221206000957 | NY | Part B Supplier - Ambulance Service Supplier | 7012386550 | Practice locations: Poughkeepsie, 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 |
|---|---|---|---|
| 33D1002475 | Lagrange Fire District | Certificate of waiver | Mar 26, 2027 |
National Provider Directory
National Provider DirectoryLocations
504 Freedom Plains Rd
Poughkeepsie, NY 12603
Phone (845) 471-4693
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533081600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1664755200000",
"number": "1730667734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "504 FREEDOM PLAINS ROAD",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "126032678",
"telephone_number": "845-471-4693",
"fax_number": "845-452-3349"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "504 FREEDOM PLAINS ROAD",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "126032678",
"telephone_number": "845-471-4693",
"fax_number": "845-452-3349"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAGRANGE FIRE DISTRICT",
"organizational_subpart": "NO",
"enumeration_date": "2018-08-01",
"last_updated": "2022-10-03",
"certification_date": "2022-10-03",
"status": "A",
"authorized_official_last_name": "SASSI",
"authorized_official_first_name": "RICHARD",
"authorized_official_title_or_position": "FIRE COMMISSIONER",
"authorized_official_telephone_number": "845-452-4998",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207PE0004X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": "NY",
"license": "1319",
"primary": false
},
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Poughkeepsie, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2022; 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.