Cape Vincent Ambulance Squad Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

CAPE VINCENT AMBULANCE SQUAD INC

Practice address

170 E Broadway St
Cape Vincent, NY 13618-4182

Phone

(315) 778-5264

NPI assigned

Mar 18, 2019

Last updated

Sep 10, 2024By 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

Jeffrey Call

Title

Chief

Phone

(315) 788-8105

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1552867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725926400000",
    "number": "1881153062",
    "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": "800-927-5845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 E BROADWAY ST",
            "city": "CAPE VINCENT",
            "state": "NY",
            "postal_code": "136184182",
            "telephone_number": "315-778-5264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPE VINCENT AMBULANCE SQUAD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-18",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A",
        "authorized_official_last_name": "CALL",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "315-788-8105"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05620957",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Belleville, RN
• Grayce Docteur
• Stacy Kay Giglio, LPN
• Donna Leah Kane, RN
• Dondra Mary Liebman, LPN
• Amanda Mason, MSW

• Land Ambulance in Cape Vincent, NY
• Providers in Cape Vincent, 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 Sep 10, 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.

Verify at the official NPI Registry.