Rensselaerville Vol Amb Inc

Primary specialty

AmbulanceTaxonomy code 341600000X

License

0135 Issued in NY

Legal business name

RENSSELAERVILLE VOL AMB INC

Practice address

380 Fox Creek Rd.
Medusa, NY 12120-1900

Phone

(518) 797-3798

Fax

(518) 797-5269

NPI assigned

Oct 31, 2005

Last updated

Mar 22, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Joanne Orlando

Title

Authorized Agent

Phone

(914) 366-4004

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363910400000",
    "number": "1821089939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 182",
            "city": "RENSSELAERVILLE",
            "state": "NY",
            "postal_code": "121470182",
            "telephone_number": "518-239-4071",
            "fax_number": "518-239-6866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 FOX CREEK RD.",
            "city": "MEDUSA",
            "state": "NY",
            "postal_code": "121201900",
            "telephone_number": "518-797-3798",
            "fax_number": "518-797-5269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENSSELAERVILLE VOL AMB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-31",
        "last_updated": "2013-03-22",
        "status": "A",
        "authorized_official_last_name": "ORLANDO",
        "authorized_official_first_name": "JOANNE",
        "authorized_official_title_or_position": "AUTHORIZED AGENT",
        "authorized_official_telephone_number": "914-366-4004",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NY",
            "license": "0135",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01806995",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590012181",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Megan C Duncan, CASACT
• Jessica L Young Sorbello, LMSW

• Ambulance in Medusa, NY
• Providers in Medusa, NY by specialty
• Ambulance in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.