Organization Active NPI

Town of Owego Fire District

  • Land Ambulance
  • Endicott, NY
National Provider Identifier
1780415810
Registry record updated Dec 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
TOWN OF OWEGO FIRE DISTRICT
Practice address
6153 State Route 17C
Endicott, NY 13760-7626
Phone
(607) 748-9315
NPI assigned
Aug 10, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2024

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

Authorized official

Name
Kyle G Barrett
Title
Als Compliance
Phone
(607) 748-9315

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

6153 State Route 17C
Endicott, NY 13760-7626

Mailing address

6153 State Route 17C
Endicott, NY 13760-7626
Phone (607) 748-9315

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241226000636 NY Part B Supplier - Ambulance Service Supplier 0749717155 Practice locations: Endicott, NY

National Provider Directory

National Provider Directory

Locations

6153 State Route 17C
Endicott, NY 13760
Phone (607) 748-9315

NPI Registry JSON

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

{
    "created_epoch": "1723248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733961600000",
    "number": "1780415810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6153 STATE ROUTE 17C",
            "city": "ENDICOTT",
            "state": "NY",
            "postal_code": "137607626",
            "telephone_number": "607-748-9315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6153 STATE ROUTE 17C",
            "city": "ENDICOTT",
            "state": "NY",
            "postal_code": "137607626",
            "telephone_number": "607-748-9315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF OWEGO FIRE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-10",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A",
        "authorized_official_last_name": "BARRETT",
        "authorized_official_first_name": "KYLE",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "ALS COMPLIANCE",
        "authorized_official_telephone_number": "607-748-9315"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Endicott, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.