Capital District Ambulance Service, Inc.

Primary specialty

AmbulanceTaxonomy code 341600000X

License

09994 Issued in NY

Legal business name

CAPITAL DISTRICT AMBULANCE SERVICE, INC.

Practice address

89 West St
Albany, NY 12206-2504

Phone

(518) 434-4444

Fax

(418) 434-1658

NPI assigned

May 25, 2006

Organization subpart

No

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

Authorized official

Name

Mr. David Patrick Fish

Title

VP

Phone

(518) 434-4444

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1501113600000",
    "number": "1770539488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 WEST ST",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122062504",
            "telephone_number": "518-434-4444",
            "fax_number": "418-434-1658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 WEST ST",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122062504",
            "telephone_number": "518-434-4444",
            "fax_number": "418-434-1658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITAL DISTRICT AMBULANCE SERVICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "last_updated": "2017-07-27",
        "status": "A",
        "authorized_official_last_name": "FISH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "518-434-4444",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NY",
            "license": "09994",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00320296",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Capital District Care Group LLC
• Capital District Colon & Rectal Surgery Assoc., P.C.
• Capital District Family Chiropractic, PLLC.
• Capital District Gastroenterology & Liver Disease, PC
• Capital District Interventional Spine & Rehabilitation, PLLC

• Ambulance in Albany, NY
• Providers in Albany, NY by specialty
• Ambulance in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.