Organization Active NPI

The Groton Volunteer Firefighters Association Inc

Doing business as Groton Fire Department

  • Land Ambulance
  • Groton, NY
National Provider Identifier
1780368092
Registry record updated Jan 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
THE GROTON VOLUNTEER FIREFIGHTERS ASSOCIATION INC
Doing business as
Groton Fire Department
Practice address
108 E Cortland St
Groton, NY 13073-1108
Phone
(607) 898-3135
NPI assigned
Jun 15, 2023
Last updated
Jan 2, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2024

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

Authorized official

Name
Michael Lockwood
Title
EMS Chief
Phone
(607) 423-8997

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

108 E Cortland St
Groton, NY 13073-1108

Mailing address

PO Box 535
Baldwinsville, NY 13027-0535
Phone (800) 927-5845

Other names 1

  • Groton Fire Department Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230925002412 NY Part B Supplier - Ambulance Service Supplier 0648624635 Practice locations: Groton, NY

National Provider Directory

National Provider Directory

Locations

108 E Cortland St
Groton, NY 13073
Phone (607) 898-3135

308 Main St
Groton, NY 13073
Phone (607) 898-3135

NPI Registry JSON

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

{
    "created_epoch": "1686787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704153600000",
    "number": "1780368092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 535",
            "city": "BALDWINSVILLE",
            "state": "NY",
            "postal_code": "130270535",
            "telephone_number": "800-927-5845",
            "fax_number": "315-635-3289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 E CORTLAND ST",
            "city": "GROTON",
            "state": "NY",
            "postal_code": "130731108",
            "telephone_number": "607-898-3135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE GROTON VOLUNTEER FIREFIGHTERS ASSOCIATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-15",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A",
        "authorized_official_last_name": "LOCKWOOD",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "EMS CHIEF",
        "authorized_official_telephone_number": "607-423-8997"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Groton Fire Department",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Groton Fire Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Groton, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2024; 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.