Organization Active NPI

Evans Mills Volunteer Ambulance Squad Incorporated

  • Land Ambulance
  • Evans Mills, NY
National Provider Identifier
1891862314
Registry record updated Dec 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
31377 Issued in NY
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2025

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
01391804MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.