Organization Active NPI

Town of Catskill Office of Supervisor

  • Land Ambulance
  • Catskill, NY
National Provider Identifier
1871640805
Registry record updated Aug 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
0646 Issued in NY
Legal business name
TOWN OF CATSKILL OFFICE OF SUPERVISOR
Practice address
439 Main St
Catskill, NY 12414
Phone
(518) 943-0549
Fax
(518) 943-0209
NPI assigned
Jan 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2018

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

Authorized official

Name
Doreen Parsley Davis
Title
Town Supervisor
Phone
(518) 943-2141

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 0646 NY Primary

Addresses

Primary practice location

439 Main St
Catskill, NY 12414

Mailing address

439 Main St
Catskill, NY 12414-1317
Phone (518) 943-0549

Other identifiers 2

IdentifierTypeStateIssuer
02353744MedicaidNY
10060192OtherNYCDPHP

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090630000360 NY Part B Supplier - Ambulance Service Supplier 1254482383 Practice locations: Cairo, NY; Catskill, NY

National Provider Directory

National Provider Directory

Locations

25 Volunteer Dr
#911
Cairo, NY 12413
Phone (518) 943-1580

439 Main St
Catskill, NY 12414
Phone (518) 943-0549

31 Browns Crossing Rd
Catskill, NY 12414
Phone (518) 943-1580

82 W Bridge St
Catskill, NY 12414
Phone (518) 943-1580

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534723200000",
    "number": "1871640805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "439 MAIN ST",
            "city": "CATSKILL",
            "state": "NY",
            "postal_code": "124141317",
            "telephone_number": "518-943-0549",
            "fax_number": "518-943-0209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "439 MAIN ST",
            "city": "CATSKILL",
            "state": "NY",
            "postal_code": "12414",
            "telephone_number": "518-943-0549",
            "fax_number": "518-943-0209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF CATSKILL OFFICE OF SUPERVISOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2018-08-20",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "DOREEN",
        "authorized_official_middle_name": "PARSLEY",
        "authorized_official_title_or_position": "TOWN SUPERVISOR",
        "authorized_official_telephone_number": "518-943-2141"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NY",
            "license": "0646",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02353744",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDPHP",
            "identifier": "10060192",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Catskill, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2018; 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.