Active NPI
Community Emergency Corps
- Ambulance
- Ballston Spa, NY
National Provider Identifier
1871576934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 09687
- Legal business name
- COMMUNITY EMERGENCY CORPS
- Practice address
- 519 Geyser Rd
Ballston Spa, NY 12020 - Phone
- (518) 885-1478
- Fax
- (518) 885-1478
- NPI assigned
- Nov 22, 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
- Ashley Edwards
- Title
- Director
- Phone
- (518) 885-1478
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 09687 | NY | Primary |
Addresses
Primary practice location
519 Geyser Rd
Ballston Spa, NY 12020
Mailing address
PO Box 535
Baldwinsville, NY 13027-0535
Phone (315) 635-1789
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 938658 | Other | MVP | |
| 000400564001 | Other | BS OF NORTHEASTERN NY | |
| 590011775 | Other | PALMETTO GBA-RAILROAD | |
| 9610659 | Other | GHI | |
| 01734894 | Medicaid | NY | |
| 10021607 | Other | CDPHP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080716000073 | NY | Part B Supplier - Ambulance Service Supplier | 5193898740 | Practice locations: Ballston Spa, NY |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D0960876 | Community Emergency Corps Inc | Certificate of waiver | Mar 26, 2027 |
National Provider Directory
National Provider DirectoryLocations
519 Geyser Rd
Ballston Spa, NY 12020
Phone (518) 885-1478
78 Thompson St
Ballston Spa, NY 12020
Phone (518) 558-1478
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132617600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1727136000000",
"number": "1871576934",
"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": "315-635-1789",
"fax_number": "315-635-3289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "519 GEYSER RD",
"city": "BALLSTON SPA",
"state": "NY",
"postal_code": "12020",
"telephone_number": "518-885-1478",
"fax_number": "518-885-1478"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMMUNITY EMERGENCY CORPS",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-22",
"last_updated": "2024-09-24",
"certification_date": "2024-09-24",
"status": "A",
"authorized_official_last_name": "EDWARDS",
"authorized_official_first_name": "ASHLEY",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "518-885-1478"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "NY",
"license": "09687",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP",
"identifier": "938658",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BS OF NORTHEASTERN NY",
"identifier": "000400564001",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETTO GBA-RAILROAD",
"identifier": "590011775",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "9610659",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01734894",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CDPHP",
"identifier": "10021607",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ballston Spa, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; 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.