Organization Active NPI

Mount Kisco Volunteer Ambulance Corps Inc

  • Ambulance
  • Mount Kisco, NY
National Provider Identifier
1811987373
Registry record updated Sep 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
0469 Issued in NY
Legal business name
MOUNT KISCO VOLUNTEER AMBULANCE CORPS INC
Practice address
310 Lexington Ave
Mount Kisco, NY 10549-2710
Phone
(914) 241-1126
Fax
(914) 244-9370
NPI assigned
Oct 26, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2013

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

Authorized official

Name
Mrs. Salvatrice Anna Pierce
Title
Treasurer
Phone
(914) 438-6783

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 0469 NY Primary

Addresses

Primary practice location

310 Lexington Ave
Mount Kisco, NY 10549-2710

Mailing address

PO Box 290184
Wethersfield, CT 06129-0184
Phone (860) 257-9201

Other identifiers 2

IdentifierTypeStateIssuer
01583595MedicaidNY
P00085425OtherRAILROAD MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070615000391 NY Part B Supplier - Ambulance Service Supplier 2466551486 Practice locations: Mount Kisco, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2160728Mount Kisco Volunteer Ambulance Corps Inc310 Lexington Ave, Mount Kisco, NY 10549Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

Locations

310 Lexington Ave
Mount Kisco, NY 10549
Phone (914) 241-1126

NPI Registry JSON

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379030400000",
    "number": "1811987373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 290184",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061290184",
            "telephone_number": "860-257-9201",
            "fax_number": "860-721-6362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 LEXINGTON AVE",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105492710",
            "telephone_number": "914-241-1126",
            "fax_number": "914-244-9370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNT KISCO VOLUNTEER AMBULANCE CORPS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-26",
        "last_updated": "2013-09-13",
        "status": "A",
        "authorized_official_last_name": "PIERCE",
        "authorized_official_first_name": "SALVATRICE",
        "authorized_official_middle_name": "ANNA",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "914-438-6783",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NY",
            "license": "0469",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01583595",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00085425",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Kisco, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.