Active NPI
Town of Georgetown
- Ambulance
- Georgetown, NY
National Provider Identifier
1790774453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 2615
- Legal business name
- TOWN OF GEORGETOWN
- Practice address
- 995 State RT 26
Georgetown, NY 13072 - Phone
- (315) 837-4299
- Fax
- (315) 837-4645
- NPI assigned
- Oct 17, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Paul H Walrod
- Title
- Town Supervisor
- Phone
- (315) 837-4299
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 2615 | NY | Primary |
Addresses
Primary practice location
995 State RT 26
Georgetown, NY 13072
Mailing address
PO Box 535
Baldwinsville, NY 13027-0535
Phone (800) 927-5845
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01758621 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110511000014 | NY | Part B Supplier - Ambulance Service Supplier | 8325224256 | Practice locations: Georgetown, NY |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129507200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1765756800000",
"number": "1790774453",
"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"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "995 STATE RT 26",
"city": "GEORGETOWN",
"state": "NY",
"postal_code": "13072",
"telephone_number": "315-837-4299",
"fax_number": "315-837-4645"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOWN OF GEORGETOWN",
"organizational_subpart": "NO",
"enumeration_date": "2005-10-17",
"last_updated": "2025-12-15",
"certification_date": "2025-12-15",
"status": "A",
"authorized_official_last_name": "WALROD",
"authorized_official_first_name": "PAUL",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "TOWN SUPERVISOR",
"authorized_official_telephone_number": "315-837-4299"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "NY",
"license": "2615",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01758621",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Georgetown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2025; 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.