Organization Active NPI

Schuyler County Volunteer Ambulance Association, Inc.

  • Ambulance
  • Watkins Glen, NY
National Provider Identifier
1821030263
Registry record updated Dec 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
SCHUYLER COUNTY VOLUNTEER AMBULANCE ASSOCIATION, INC.
Practice address
909 S Decatur St
Watkins Glen, NY 14891-1631
Phone
(607) 535-7273
Fax
(607) 535-8825
NPI assigned
Jun 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2025

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

Authorized official

Name
Mary Elizabeth Miller
Title
Director of Operations
Phone
(607) 535-7273

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X Primary

Addresses

Primary practice location

909 S Decatur St
Watkins Glen, NY 14891-1631

Mailing address

PO Box 831
Ithaca, NY 14851-0831
Phone (610) 401-2041

Other identifiers 1

IdentifierTypeStateIssuer
00920163MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040503000541 NY Part B Supplier - Ambulance Service Supplier 1052309721 Practice locations: Watkins Glen, NY

National Provider Directory

National Provider Directory

Locations

100 E 14th St
Elmira Hts, NY 14903
Phone (607) 734-6237

909 S Decatur St
Watkins Glen, NY 14891
Phone (607) 535-7273

NPI Registry JSON

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765756800000",
    "number": "1821030263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 831",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148510831",
            "telephone_number": "610-401-2041",
            "fax_number": "610-401-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 S DECATUR ST",
            "city": "WATKINS GLEN",
            "state": "NY",
            "postal_code": "148911631",
            "telephone_number": "607-535-7273",
            "fax_number": "607-535-8825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCHUYLER COUNTY VOLUNTEER AMBULANCE ASSOCIATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-15",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "MARY ELIZABETH",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "607-535-7273"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00920163",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Watkins Glen, 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.

Verify at the official NPI Registry.