Organization Active NPI

Houghton Volunteer Ambulance Service, Inc.

  • Land Ambulance
  • Houghton, NY
National Provider Identifier
1982954806
Registry record updated Sep 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
0953 Issued in NY
Legal business name
HOUGHTON VOLUNTEER AMBULANCE SERVICE, INC.
Practice address
9750 State Route 19
Houghton, NY 14744
Phone
(585) 567-8229
NPI assigned
Sep 18, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2012

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

Authorized official

Name
Andrew Smith
Title
Treasurer
Phone
(585) 567-8229

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 0953 NY Primary

Addresses

Primary practice location

9750 State Route 19
Houghton, NY 14744

Mailing address

9750 State Route 19
Houghton, NY 14744

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121210000450 NY Part B Supplier - Ambulance Service Supplier 2365694700 Practice locations: Houghton, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2210142Houghton Volunteer Ambulance Service Inc9750 State RT 19, Houghton, NY 14744Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1347926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347926400000",
    "number": "1982954806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9750 STATE ROUTE 19",
            "city": "HOUGHTON",
            "state": "NY",
            "postal_code": "14744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9750 STATE ROUTE 19",
            "city": "HOUGHTON",
            "state": "NY",
            "postal_code": "14744",
            "telephone_number": "585-567-8229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUGHTON VOLUNTEER AMBULANCE SERVICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-18",
        "last_updated": "2012-09-18",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "585-567-8229"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NY",
            "license": "0953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houghton, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2012; 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.