OTISVILLE MT. HOPE VOLUNTEER AMBULANCE (NPI# 1538188834) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1538188834 |
Entity Type | Organization |
Organization Name | OTISVILLE MT. HOPE VOLUNTEER AMBULANCE |
Practice Address |
60 State Str Otisville NY 10963 |
Mailing Address |
Po Box 196 Otisville NY 10963-0196 |
Practice Telephone | 8453869501 |
Practice Fax Number | 8453861244 |
Mailing Telephone | 8453869501 |
Mailing Fax Number | 8453861244 |
Enumeration Date | 2006-07-18 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MR. LOU DODD (PRESIDENT) |
Authorized Official Telephone | 8453869501 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3416L0300X |
Ambulance Specialization: Land Transport |
10041 | NY | Transportation Services |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NY | 02360227 | 05 |
Street Address |
60 STATE STR |
City | OTISVILLE |
State | NY |
Zip Code | 10963 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598077174 | Courtney Jean Rosen | Occupational Therapist | 293 Robbins Road, Otisville, NY 10963 | 2010-07-12 |
1407063373 | Diane Rita Sommer | General Practice | 2 Mile Drive, Otisville, NY 10963 | 2007-05-17 |
1578681383 | John William Claar | Pharmacist | 2 Mile Dr, Fci Otisville Pharmacy, Otisville, NY 10963 | 2007-03-27 |
1235262601 | Edan Blumenthal | Dentist | 1003 Baltimore Pike, Media, PA 10963 | 2007-03-14 |
1457910929 | Jayne Alice Vander Hey-wright | Physician Assistant | 2 Mile Drive, Otisville, NY 10963 | 2019-06-10 |
1679759435 | Jean Vincent Perrot | Pharmacist | 722 Rt 6 and 209, 722 Rt 6 and 209, Matamoras, PA 10963-0000 | 2008-01-11 |
1710310461 | Federal Correctional Institution, Otisville | Clinic/Center | Two Mile Drive, Otisville, NY 10963-0600 | 2013-08-16 |
1417127739 | Joan Marie Muino | Social Worker | 9 Otis Cir, Otisville, NY 10963-2234 | 2008-03-03 |
1598130395 | Tracy Moore | Licensed Practical Nurse | 2 Laura Ln, Otisville, NY 10963-2316 | 2015-12-04 |
1972686426 | Lisa Marie Hahne | Occupational Therapy Assistant | 3 Laura Ln, Otisville, NY 10963-2318 | 2006-10-20 |
Find all providers in zip 10963 |
Taxonomy Code | 3416L0300X |
Grouping | Transportation Services |
Classification | Ambulance |
Specialization | Land Transport |
Definition to come... |
Notes: [1/1/2005: title modified] |
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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.