NPIMap

Organization Active NPI

Margaretville Memorial Hospital

Doing business as Magaretville Memorial Hopsital Ambulance Squad

  • Land Ambulance
  • Margaretville, NY
National Provider Identifier
1912950643
Registry record updated Dec 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
1203 Issued in NY
Legal business name
MARGARETVILLE MEMORIAL HOSPITAL
Doing business as
Magaretville Memorial Hopsital Ambulance Squad
Practice address
42084 State Highway 28
Margaretville, NY 12455
Phone
(845) 586-2631
Fax
(845) 943-6077
NPI assigned
May 17, 2006
Last updated
Dec 31, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2018

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

Authorized official

Name
Mr. Mark Pohar, CEO
Title
Ceo
Phone
(845) 586-2631

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 1203 NY Primary

Addresses

Primary practice location

42084 State Highway 28
Margaretville, NY 12455

Mailing address

42084 State Highway 28
Margaretville, NY 12455-2820
Phone (845) 586-2631

Other names 1

  • Magaretville Memorial Hopsital Ambulance Squad Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080227000867 NY Part B Supplier - Ambulance Service Supplier 9537071550 Practice locations: Margaretville, NY

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Prattsville Fam HLTH Ctr4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546214400000",
    "number": "1912950643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42084 STATE HIGHWAY 28",
            "city": "MARGARETVILLE",
            "state": "NY",
            "postal_code": "124552820",
            "telephone_number": "845-586-2631",
            "fax_number": "845-586-2976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42084 STATE HIGHWAY 28",
            "city": "MARGARETVILLE",
            "state": "NY",
            "postal_code": "12455",
            "telephone_number": "845-586-2631",
            "fax_number": "845-943-6077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARGARETVILLE MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2018-12-31",
        "status": "A",
        "authorized_official_last_name": "POHAR",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "845-586-2631",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NY",
            "license": "1203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Magaretville Memorial Hopsital Ambulance Squad",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Margaretville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2018; 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.