Southern Oswego Volunteer Ambulance Corps Inc

Primary specialty

AmbulanceTaxonomy code 341600000X

License

10751 Issued in NY

Legal business name

SOUTHERN OSWEGO VOLUNTEER AMBULANCE CORPS INC

Practice address

8 Gertrude Dr
Central Square, NY 13036-2600

Phone

(315) 676-5071

NPI assigned

Jun 13, 2006

Organization subpart

No

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

Authorized official

Name

Michael Montgomery Jr.

Title

Executive Director

Phone

(315) 676-5071

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323648000000",
    "number": "1902848799",
    "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": "315-635-1789",
            "fax_number": "315-635-3289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 GERTRUDE DR",
            "city": "CENTRAL SQUARE",
            "state": "NY",
            "postal_code": "130362600",
            "telephone_number": "315-676-5071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN OSWEGO VOLUNTEER AMBULANCE CORPS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-13",
        "last_updated": "2011-12-12",
        "status": "A",
        "authorized_official_last_name": "MONTGOMERY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "315-676-5071",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NY",
            "license": "10751",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01668446",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA RR MEDICARE",
            "identifier": "590009245",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "990578",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE",
            "identifier": "147439FY",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melanie Ann Sims, LPN
• Atinderpal Singh, DDS
• Hannah G Smith, NP
• Jada N Smith, LMT
• Jennifer M Smith, LMSW
• Kay Ann Springer, OTA
• Amy Lynn Spurlin, LPN
• Rosemary Anne Squires, MA, RD
• Cherice Marie Stebbins, FNP
• Julia Elizabeth Streeter

• Ambulance in Central Square, NY
• Providers in Central Square, NY by specialty
• Ambulance in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2011; 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.