Fort Covington EMS Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

31549 Issued in NY

Legal business name

FORT COVINGTON EMS INC

Practice address

2454 Chateaugay Street
Fort Covington, NY 12937-0447

Phone

(518) 358-2990

Fax

(518) 358-9970

NPI assigned

Dec 6, 2013

Last updated

Apr 27, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. John Bashaw

Title

President

Phone

(518) 358-2990

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

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

{
    "created_epoch": "1386288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430092800000",
    "number": "1942631627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5530 SHERIDAN DR",
            "address_2": "SUITE 3B",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142213730",
            "telephone_number": "716-204-3350",
            "fax_number": "716-634-7170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2454 CHATEAUGAY STREET",
            "city": "FORT COVINGTON",
            "state": "NY",
            "postal_code": "129370447",
            "telephone_number": "518-358-2990",
            "fax_number": "518-358-9970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT COVINGTON EMS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-06",
        "last_updated": "2015-04-27",
        "status": "A",
        "authorized_official_last_name": "BASHAW",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "518-358-2990",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NY",
            "license": "31549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Frances Carr, M.S. CCC-SLP
• Genevieve Rose Deon, RN
• Gisele Marie Hance, RN
• Emmah Mae-Louise Herne
• Kathleen Lauzon, FNP
• Denise Leroux Oakes, LPN
• Eryn Revette, OTR/L

• Land Ambulance in Fort Covington, NY
• Providers in Fort Covington, 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 Apr 27, 2015; 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.