Organization Active NPI

Mid-County Volunteer Ambulance Service Ny Inc.

  • Land Ambulance
  • Palatine Bridge, NY
National Provider Identifier
1881639219
Registry record updated Feb 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
2813 Issued in NY
Legal business name
MID-COUNTY VOLUNTEER AMBULANCE SERVICE NY INC.
Practice address
46 W Grand Strett
Palatine Bridge, NY 13428-9701
Phone
(518) 673-2039
Fax
(518) 673-3106
NPI assigned
Jun 19, 2006
Last updated
Feb 1, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2012

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

Authorized official

Name
Mr. Brian Harrington
Title
Director of Operations
Phone
(518) 673-2039

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 2813 NY Primary

Addresses

Primary practice location

46 W Grand Strett
Palatine Bridge, NY 13428-9701

Mailing address

46 West Grand Street
Palatine Bridge, NY 13428-9701
Phone (518) 673-2039

Other identifiers 1

IdentifierTypeStateIssuer
02128701MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328054400000",
    "number": "1881639219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 WEST GRAND STREET",
            "city": "PALATINE BRIDGE",
            "state": "NY",
            "postal_code": "134289701",
            "telephone_number": "518-673-2039",
            "fax_number": "518-673-3106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 W GRAND STRETT",
            "city": "PALATINE BRIDGE",
            "state": "NY",
            "postal_code": "134289701",
            "telephone_number": "518-673-2039",
            "fax_number": "518-673-3106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-COUNTY VOLUNTEER AMBULANCE SERVICE NY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-19",
        "last_updated": "2012-02-01",
        "status": "A",
        "authorized_official_last_name": "HARRINGTON",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "518-673-2039",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NY",
            "license": "2813",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02128701",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palatine Bridge, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2012; 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.