Organization Active NPI

Lewisboro Volunteer Ambulance Corps, Inc

  • Land Ambulance
  • Cross River, NY
National Provider Identifier
1760895379
Registry record updated Jun 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
5971 Issued in NY
Legal business name
LEWISBORO VOLUNTEER AMBULANCE CORPS, INC
Practice address
777 Route 35
Cross River, NY 10518-1147
Phone
(914) 763-3574
NPI assigned
Jun 11, 2014
Last updated
Jun 18, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2014

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

Authorized official

Name
Douglas E. Hux
Title
Treasurer
Phone
(914) 763-3574

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 5971 NY Primary

Addresses

Primary practice location

777 Route 35
Cross River, NY 10518-1147

Mailing address

777 RT 35
P.O. Box 41
South Salem, NY 10590-0041
Phone (914) 763-3574

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141104001407 NY Part B Supplier - Ambulance Service Supplier 0749402907 Practice locations: Cross River, NY

National Provider Directory

National Provider Directory

Locations

777 Route 35
Cross River, NY 10518
Phone (914) 763-3574

NPI Registry JSON

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

{
    "created_epoch": "1402444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403049600000",
    "number": "1760895379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 RT 35",
            "address_2": "P.O. BOX 41",
            "city": "SOUTH SALEM",
            "state": "NY",
            "postal_code": "105900041",
            "telephone_number": "914-763-3574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 ROUTE 35",
            "city": "CROSS RIVER",
            "state": "NY",
            "postal_code": "105181147",
            "telephone_number": "914-763-3574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEWISBORO VOLUNTEER AMBULANCE CORPS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-11",
        "last_updated": "2014-06-18",
        "status": "A",
        "authorized_official_last_name": "HUX",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "914-763-3574"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NY",
            "license": "5971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cross River, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.