Smith Ambulance Service

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

SMITH AMBULANCE SERVICE

Practice address

1659 Cortland Street
Deruyter, NY 13052

Phone

(315) 852-6172

NPI assigned

Oct 26, 2006

Last updated

Aug 22, 2020By 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

Mr. Richard Smith

Title

Owner

Phone

(315) 852-6172

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871678722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1659 CORTLAND STREET",
            "city": "DERUYTER",
            "state": "NY",
            "postal_code": "13052",
            "telephone_number": "315-852-6172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1659 CORTLAND STREET",
            "city": "DERUYTER",
            "state": "NY",
            "postal_code": "13052",
            "telephone_number": "315-852-6172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMITH AMBULANCE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-852-6172",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00906881",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alysia Irene Gallerani
• Rebecca Irene Hampton, LPN
• Sandra Louise Hathaway, RN
• Lisa M Merchant, LPN
• Jamie Mody, M.A., CCC-SLP
• Deborah Warner, NP

• Land Ambulance in De Ruyter, NY
• Providers in De Ruyter, NY by specialty
• Land Ambulance in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.