BREWERTON VOLUNTEER FIRE DEPARTMENT AMBULANCE INC (NPI# 1073750766) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073750766 |
| Entity Type | Organization |
| Organization Name | BREWERTON VOLUNTEER FIRE DEPARTMENT AMBULANCE INC |
| Other Organization Name | BREWERTON AMBULANCE |
| Practice Address |
9625 Brewerton Rd Brewerton NY 13029-0708 |
| Mailing Address |
Po Box 535 Baldwinsville NY 13027-0535 |
| Practice Telephone | 3156689789 |
| Practice Fax Number | 3154288648 |
| Mailing Telephone | 3156351789 |
| Mailing Fax Number | 3156353289 |
| Enumeration Date | 2009-01-16 |
| Last Update Date | 2020-08-06 |
| Authorized Official Name | STACIE MAILLOUX (PRESIDENT) |
| Authorized Official Telephone | 3154278149 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3416L0300X |
Ambulance Specialization: Land Transport |
11319 | NY | Transportation Services |
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
31865 | NY | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 03122016 | 05 |
| Other Name | Type Code |
|---|---|
| Brewerton Ambulance | Doing Business As Name - Organization |
| Street Address |
9625 BREWERTON RD |
| City | BREWERTON |
| State | NY |
| Zip Code | 13029-0708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457656415 | Janet Lynn Wells | Licensed Practical Nurse | 5589 Oneida Dr, Upper, Brewerton, NY 13029 | 2011-01-21 |
| 1023043031 | Thomas Mark Carroll | Dentist | 9651 Brewerton Rd, Brewerton, NY 13029-0189 | 2006-07-11 |
| 1033659347 | William Eklund | Respiratory Therapist, Registered | 8836 Beach Rd, Brewerton, NY 13029-8632 | 2017-03-06 |
| 1245608314 | Dalaine Bouthillier | Licensed Practical Nurse | 5914 Mckinley Rd, Brewerton, NY 13029-8638 | 2015-09-08 |
| 1457318602 | Paul C Giasi | Emergency Medicine | 5831 Miralago Ln, Brewerton, NY 13029-8664 | 2006-04-28 |
| 1164553079 | Brewerton Family Dentistry | Dentist | 5501 Bartel Rd, Brewerton, NY 13029-8701 | 2007-03-09 |
| 1033652482 | Jamie Bishop | Behavioral Analyst | 5344 Orangeport Rd, Brewerton, NY 13029-8703 | 2016-12-01 |
| 1396141578 | Gwendolyn Hart | Registered Nurse | 5434 Library St, Brewerton, NY 13029-8707 | 2014-11-14 |
| 1235570086 | New Ways Counseling, LLC | Social Worker | 9642 Brewerton Rd, Brewerton, NY 13029-8717 | 2013-07-09 |
| 1396302931 | Alexander Michael Rieth | Student in an Organized Health Care Education/Training Program | 9443 Bear Springs Rd, Brewerton, NY 13029-8721 | 2019-05-20 |
| Find all providers in zip 13029 | ||||
| Taxonomy Code | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
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| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.