Village of Cobleskill

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

4713 Issued in NY

Legal business name

VILLAGE OF COBLESKILL

Practice address

610 E Main St
Cobleskill, NY 12043-3820

Phone

(518) 234-3891

Fax

(518) 234-4075

NPI assigned

Nov 18, 2011

Organization subpart

No

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

Authorized official

Name

Cynthia L Miller

Title

Clerk-Treasurer, Village of Cobelsk

Phone

(888) 603-2455

Specialties & licenses 1

Addresses

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

Locations

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

{
    "created_epoch": "1321574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694390400000",
    "number": "1891062816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 787",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121100787",
            "telephone_number": "888-603-2455",
            "fax_number": "888-603-2455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 E MAIN ST",
            "city": "COBLESKILL",
            "state": "NY",
            "postal_code": "120433820",
            "telephone_number": "518-234-3891",
            "fax_number": "518-234-4075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE OF COBLESKILL",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-18",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CLERK-TREASURER, VILLAGE OF COBELSK",
        "authorized_official_telephone_number": "888-603-2455"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NY",
            "license": "4713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kerry Murphy Utstein, PA-C
• Christopher Jay Vandeusen, F.N.P.
• Catherine A Vansteenburg
• Sara Vennard, PA
• Village Eye Care Inc
• Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-2135)
• Wal-Mart Stores East, LP (Vision Center 30-2135)
• Walgreen Co (Walgreens #17390)
• William S Lancaster, DDS Herbert J Emmons, DDS Gary J Surman, DDS D
• Darah Wright, MD

• Land Ambulance in Cobleskill, NY
• Providers in Cobleskill, 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 11, 2023; 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.