ANDOVER VOLUNTEER AMBULANCE CORP INC (NPI# 1932508421) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932508421 |
| Entity Type | Organization |
| Organization Name | ANDOVER VOLUNTEER AMBULANCE CORP INC |
| Practice Address |
60 S. Main Street Andover NY 14806 |
| Mailing Address |
60 S. Main Street P.o. Box 726 Andover NY 14806 |
| Practice Telephone | 6074788361 |
| Practice Fax Number | 6074785003 |
| Mailing Telephone | 6074788361 |
| Mailing Fax Number | 6074785003 |
| Enumeration Date | 2014-08-20 |
| Last Update Date | 2014-08-20 |
| Authorized Official Name | MS. DIANE M. PITTS (AUTHORIZED SIGNER) |
| Authorized Official Telephone | 6074788361 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
32114 | NY | Transportation Services |
| Street Address |
60 S. MAIN STREET |
| City | ANDOVER |
| State | NY |
| Zip Code | 14806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073169587 | Jillian Louise Forman | Counselor | 2 South Main St., Suite 3, Andover, NY 14806 | 2019-08-12 |
| 1083100549 | Chelsea Burdick | Speech-Language Pathologist | 4252 County Road 12, Andover, NY 14806 | 2018-07-09 |
| 1902128382 | Cheri Ann Gavin | Licensed Practical Nurse | 10 Pleasant Ave., Andover, NY 14806 | 2010-02-25 |
| 1740437276 | Jennifer Austin Smith | Speech-Language Pathologist | 3135 Elm Street, Andover, NY 14806 | 2008-08-27 |
| 1619151784 | Judith E Okeefe | Licensed Practical Nurse | 4023 Cty Rd12, Andover, NY 14806 | 2007-12-24 |
| 1982719985 | Daniel L Woolston | Nurse Practitioner | 20 Sout Main St, Andover, NY 14806 | 2006-08-20 |
| 1922017128 | William A Coch | Family Medicine | 20 S Main St., Andover, NY 14806 | 2006-08-05 |
| 1174583066 | Trevor James Bechtel | Dentist | 2 Main Street, Andover, NY 14806 | 2006-03-24 |
| 1770569535 | David Douglas Gardner | Dentist | 2 South Main St, Andover, NY 14806 | 2005-12-22 |
| 1649552464 | James Three Seventeen Medical Pllc | Family Medicine | 20 Main St, Andover, NY 14806 | 2011-09-19 |
| Find all providers in zip 14806 | ||||
| Taxonomy Code | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619979796 | Town of Andover | Ambulance | 32 North Main Street, Andover, MA 01810-3513 | 2005-08-10 |
| 1457351306 | Andover Volunteer Fire Department, Inc. | Ambulance | 11 School Rd, Andover, CT 06232-1526 | 2005-07-21 |
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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.