Organization Active NPI

Providence Volunteer Ambulance Corps Inc

  • Land Ambulance
  • Galway, NY
National Provider Identifier
1952480923
Registry record updated Feb 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
4523 Issued in NY
Legal business name
PROVIDENCE VOLUNTEER AMBULANCE CORPS INC
Practice address
7177 Fishhouse Rd
Galway, NY 14482
Phone
(518) 883-5723
Fax
(585) 768-7323
NPI assigned
Nov 2, 2006
Last updated
Feb 27, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2013

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

Authorized official

Name
Shirley Ainsworth
Title
Captain
Phone
(518) 883-5723

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 4523 NY Primary

Addresses

Primary practice location

7177 Fishhouse Rd
Galway, NY 14482

Mailing address

8020 E Main Rd
Le Roy, NY 14482-9704
Phone (585) 768-2192

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361923200000",
    "number": "1952480923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8020 E MAIN RD",
            "city": "LE ROY",
            "state": "NY",
            "postal_code": "144829704",
            "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": "7177 FISHHOUSE RD",
            "city": "GALWAY",
            "state": "NY",
            "postal_code": "14482",
            "telephone_number": "518-883-5723",
            "fax_number": "585-768-7323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDENCE VOLUNTEER AMBULANCE CORPS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2013-02-27",
        "status": "A",
        "authorized_official_last_name": "AINSWORTH",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_title_or_position": "CAPTAIN",
        "authorized_official_telephone_number": "518-883-5723"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NY",
            "license": "4523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Galway, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2013; 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.