Brockport Volunteer Ambulance Corps Inc
Organization Active NPI Land Ambulance · Brockport, NY
NPI 1992061295 · NPPES record last updated Feb 16, 2020
Key facts
- NPI
- 1992061295
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- License
- 0983 (NY)
- Legal business name
- BROCKPORT VOLUNTEER AMBULANCE CORPS INC
- Practice address
- 3 Burroughs Ter
Brockport, NY 14420-2001 - Phone
- (585) 391-3478
- NPI assigned
- Apr 11, 2012
- Organization subpart
- No
Authorized official
- Name
- Emily Curran
- Title
- Board Member
- Phone
- (888) 603-2455
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120820000697 | NY | Part B Supplier - Ambulance Service Supplier | 1254588650 | Practice locations: Brockport, NY |
National Provider Directory
Locations
3 Burroughs Ter
Brockport, NY 14420
Phone (585) 391-3478
38 Market St
Brockport, NY 14420
Phone (585) 637-1035
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 0983 | NY | Yes |
Addresses
Primary practice location
3 Burroughs Ter
Brockport, NY 14420-2001
Mailing address
107 Washington Ave
Albany, NY 12210-2231
Phone (888) 603-2455
Other providers in Brockport, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 16, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.