Active NPI
Village of Owego
- Land Ambulance
- Owego, NY
National Provider Identifier
1750941506
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- VILLAGE OF OWEGO
- Practice address
- 87 North Ave
Owego, NY 13827-1324 - Phone
- (607) 687-1201
- NPI assigned
- Jun 14, 2019
- Last updated
- Jun 27, 2019
- 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
- Michael Baratta III
- Title
- Mayor
- Phone
- (607) 972-6034
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Primary |
Addresses
Primary practice location
87 North Ave
Owego, NY 13827-1324
Mailing address
178 Main St
Owego, NY 13827-1659
Phone (607) 687-1710
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190805002501 | NY | Part B Supplier - Ambulance Service Supplier | 7012244601 | Practice locations: Owego, 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 |
|---|---|---|---|
| 33D2296049 | Village of Owego, EMS Department | Certificate of waiver | Mar 26, 2027 |
National Provider Directory
National Provider DirectoryLocations
178 Main St
Owego, NY 13827
87 North Ave
Owego, NY 13827
Phone (607) 687-1201
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560470400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1561593600000",
"number": "1750941506",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "178 MAIN ST",
"city": "OWEGO",
"state": "NY",
"postal_code": "138271659",
"telephone_number": "607-687-1710",
"fax_number": "607-687-1787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "87 NORTH AVE",
"city": "OWEGO",
"state": "NY",
"postal_code": "138271324",
"telephone_number": "607-687-1201"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VILLAGE OF OWEGO",
"organizational_subpart": "NO",
"enumeration_date": "2019-06-14",
"last_updated": "2019-06-27",
"status": "A",
"authorized_official_last_name": "BARATTA",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "MAYOR",
"authorized_official_telephone_number": "607-972-6034",
"authorized_official_name_suffix": "III"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Owego, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2019; 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.