Active NPI
R.B. Lawrence Inc.
- Land Ambulance
- Canton, NY
National Provider Identifier
1790847770
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 4441
- Legal business name
- R.B. LAWRENCE INC.
- Practice address
- 5747 US Highway 11
Canton, NY 13617 - Phone
- (315) 386-3909
- NPI assigned
- Dec 15, 2006
- Last updated
- Dec 19, 2017
- 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
- Mr. Russell B. Lawrence III
- Title
- President
- Phone
- (315) 375-8258
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 4441 | NY | Primary |
| Non-emergency Medical Transport (VAN) | 343900000X | D376796 | NY |
Addresses
Primary practice location
5747 US Highway 11
Canton, NY 13617
Mailing address
21 Oswego St
PO Box 535
Baldwinsville, NY 13027-0535
Phone (800) 927-5845
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00879290 | Medicaid | NY |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166140800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1513641600000",
"number": "1790847770",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 OSWEGO ST",
"address_2": "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": "5747 US HIGHWAY 11",
"city": "CANTON",
"state": "NY",
"postal_code": "13617",
"telephone_number": "315-386-3909"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "R.B. LAWRENCE INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-15",
"last_updated": "2017-12-19",
"status": "A",
"authorized_official_last_name": "LAWRENCE",
"authorized_official_first_name": "RUSSELL",
"authorized_official_middle_name": "B.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "315-375-8258",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "III"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "NY",
"license": "4441",
"primary": true
},
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": "NY",
"license": "D376796",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00879290",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Canton, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.