1689677551 NPI number — TC HUDSON VALLEY AMBULANCE CORP.

Table of content: (NPI 1689677551)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1689677551 NPI number — TC HUDSON VALLEY AMBULANCE CORP.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
TC HUDSON VALLEY AMBULANCE CORP.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
TRANSCARE
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1689677551
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/20/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1 METROTECH CTR
Provider Second Line Business Mailing Address:
20TH FLOOR
Provider Business Mailing Address City Name:
BROOKLYN
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
11201-3949
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
718-763-8888
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
16 MIDDLEBUSH RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WAPPINGERS FALLS
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
12590-4004
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
845-225-8888
Provider Business Practice Location Address Fax Number:
845-471-8084
Provider Enumeration Date:
05/24/2005

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
O'CONNOR
Authorized Official First Name:
JAMES
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT & CEO
Authorized Official Telephone Number:
718-510-9080

Provider Taxonomy Codes

  • Taxonomy code: 3416L0300X , with the licence number:  0667 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 02320854 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: P00019259 . This is a "RAILROAD MEDICARE" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".