Active NPI
Evans Mills Volunteer Ambulance Squad Incorporated
- Land Ambulance
- Evans Mills, NY
National Provider Identifier
1891862314
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 31377
- Legal business name
- EVANS MILLS VOLUNTEER AMBULANCE SQUAD INCORPORATED
- Practice address
- 8733 Factory St
Evans Mills, NY 13637-0113 - Phone
- (315) 629-6081
- Fax
- (315) 629-6088
- NPI assigned
- Nov 29, 2006
- Last updated
- Dec 15, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Leah Murphy
- Title
- Director of Operations
- Phone
- (315) 629-6081
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 31377 | NY | Primary |
Addresses
Primary practice location
8733 Factory St
Evans Mills, NY 13637-0113
Mailing address
PO Box 535
Baldwinsville, NY 13027-0535
Phone (585) 768-2192
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01391804 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050705000684 | NY | Part B Supplier - Ambulance Service Supplier | 1052357696 | Practice locations: Evans Mills, NY |
National Provider Directory
National Provider Directory- Tax ID family
- Evans Mills Volunteer Ambulance Squad Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Land Ambulance
- Evans Mills, NY
- NPI 1366530958
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164758400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1765756800000",
"number": "1891862314",
"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": "585-768-2192",
"fax_number": "585-768-7323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8733 FACTORY ST",
"city": "EVANS MILLS",
"state": "NY",
"postal_code": "136370113",
"telephone_number": "315-629-6081",
"fax_number": "315-629-6088"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EVANS MILLS VOLUNTEER AMBULANCE SQUAD INCORPORATED",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-29",
"last_updated": "2025-12-15",
"certification_date": "2025-12-15",
"status": "A",
"authorized_official_last_name": "MURPHY",
"authorized_official_first_name": "LEAH",
"authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
"authorized_official_telephone_number": "315-629-6081"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "NY",
"license": "31377",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01391804",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Evans Mills, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2025; 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.