Organization Active NPI

Parkland Ambulance Service, Inc.

Doing business as Mohawk Ambulance Service

  • Land Ambulance
  • Schenectady, NY
National Provider Identifier
1770562910
Registry record updated Mar 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
10027 Issued in NY
Legal business name
PARKLAND AMBULANCE SERVICE, INC.
Doing business as
Mohawk Ambulance Service
Practice address
357 Kings Rd
Schenectady, NY 12304-3645
Phone
(518) 374-4468
Fax
(518) 374-4685
NPI assigned
Jan 16, 2006
Last updated
Mar 6, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2008

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

Authorized official

Name
Mr. James P McPartlon III
Title
Vice-President
Phone
(518) 346-5060

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 10027 NY Primary

Addresses

Primary practice location

357 Kings Rd
Schenectady, NY 12304-3645

Mailing address

357 Kings Rd
Schenectady, NY 12304-3645
Phone (518) 374-4468

Other identifiers 9

IdentifierTypeStateIssuer
A02151OtherNYEMPIRE BC/BS
10017574OtherNYCDPHP
1712373MedicaidMA
422130000MedicaidME
000400346001OtherNYBS OF NENY
00320407MedicaidNY
1001879MedicaidVT
5140OtherNYWELLCARE OF NY
000479001009OtherNYBS NENY 911 CALLS

Other names 1

  • Mohawk Ambulance Service Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040311000550 NY Part B Supplier - Ambulance Service Supplier 4789573536 Practice locations: Troy, NY; Albany, NY; Schenectady, NY; Scotia, NY
O20201117002758 NY Part B Supplier - Mass Immunization (Roster Biller Only) 4789573536 Practice locations: Albany, NY; Schenectady, NY; Troy, NY

National Provider Directory

National Provider Directory

Locations

290 Quail St
Albany, NY 12208
Phone (518) 436-1367

570 Central Ave
Albany, NY 12206
Phone (518) 453-4120

793 State St
Schenectady, NY 12307
Phone (518) 346-0218

176 Freemans Bridge Rd
Scotia, NY 12302
Phone (518) 372-2965

161 McChesney Ave
Troy, NY 12180
Phone (518) 374-5190

42 Brick Church Rd
Troy, NY 12180
Phone (518) 279-4500

625 River St
Troy, NY 12180
Phone (518) 271-7223

80 Vandenburgh Ave
Troy, NY 12180
Phone (518) 374-5190

NPI Registry JSON

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

{
    "created_epoch": "1137369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204761600000",
    "number": "1770562910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "357 KINGS RD",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123043645",
            "telephone_number": "518-374-4468",
            "fax_number": "518-374-4685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "357 KINGS RD",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123043645",
            "telephone_number": "518-374-4468",
            "fax_number": "518-374-4685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKLAND AMBULANCE SERVICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-16",
        "last_updated": "2008-03-06",
        "status": "A",
        "authorized_official_last_name": "MCPARTLON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "518-346-5060",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NY",
            "license": "10027",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BC/BS",
            "identifier": "A02151",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDPHP",
            "identifier": "10017574",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1712373",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "422130000",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BS OF NENY",
            "identifier": "000400346001",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00320407",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1001879",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE OF NY",
            "identifier": "5140",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BS NENY 911 CALLS",
            "identifier": "000479001009",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mohawk Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Schenectady, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2008; 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.