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BREWERTON VOLUNTEER FIRE DEPARTMENT AMBULANCE INC
NPI 1073750766
Ambulance - Land Transport in Brewerton, NY

Active since January 16, 2009CLIA 33D2165951 · Waiver
9625 BREWERTON RD, BREWERTON, NY 13029(315) 668-9789(315) 428-8648 Get Directions Write a Review

NPPES record last updated: December 4, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 4, 2025, Oct 16, 2023, Aug 6, 2020 (3 updates tracked since 2020).

About Brewerton Volunteer Fire Department Ambulance Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BREWERTON VOLUNTEER FIRE DEPARTMENT AMBULANCE INC (NPI 1073750766), doing business as Brewerton Ambulance, is a healthcare organization registered as a land transport in Brewerton, New York and active in the NPI registry since January 2009. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Amy Taylor, President, as its authorized official.

NPPES Registry Identity

NPI1073750766
Entity TypeOrganization
Primary Taxonomy3416L0300X
Legal Business NameBREWERTON VOLUNTEER FIRE DEPARTMENT AMBULANCE INC
Location Address9625 BREWERTON RDBrewerton, NY 13029-0708
Mailing AddressPo Box 535Baldwinsville, NY 13027-0535 · (315) 635-1789 · Fax (315) 635-3289
Phone(315) 668-9789
Fax(315) 428-8648
Organization SubpartNo
Authorized OfficialAmy TaylorPresident · (315) 676-7724
Enumeration DateJanuary 16, 2009
Last NPPES UpdateDecember 4, 20253 updates tracked since enumeration
NPPES CertifiedDecember 4, 2025
✔ NPI 1073750766 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulance · Land TransportTransportation Services
Taxonomy Code3416L0300X
License✔ Licensed in NY · 31865
9625 BREWERTON RD, Brewerton, NY 13029
Open in Google Maps ↗

Other Names 1

Doing Business AsBrewerton Ambulance

Other Identifiers 1

Medicaid03122016NY

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2165951

Brewerton Volunteer Fire Department Ambulance Inc · Brewerton, NY
Active · expires Mar 26, 2027
CLIA Number33D2165951
Laboratory TypeAmbulance
Certificate Effective DateMay 8, 2019
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Kirby P. Black
Laboratory Phone(315) 751-6216
Laboratory LocationBrewerton Volunteer Fire Department Ambulance Inc9625 Brewerton Rd, Brewerton, NY 13029
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Ground mileage, per statute mile A0425
Ground mileage per statute mile is a method of calculating the cost of transportation for medical services. It is used when a patient needs to be transported by ground ambulance. The cost is calculated per mile, from the pick-up location to the medical facility.
2,245 services111 patients
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) A0427
Ambulance Service, Advanced Life Support, Level 1 (ALS 1 - Emergency) is a critical care transport service for emergency situations. It includes a team of healthcare professionals equipped with advanced skills and tools to manage life-threatening conditions during transport.
95 services79 patients
Ambulance service, basic life support, emergency transport (bls-emergency) A0429
Ambulance service with basic life support (BLS-Emergency) provides immediate transport for patients in critical situations. Medical professionals on board deliver essential care like CPR, wound dressing, and oxygen therapy to stabilize patients during the journey.
37 services37 patients

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brewerton Volunteer Fire Department Ambulance Inc's NPI number?

The NPI number for Brewerton Volunteer Fire Department Ambulance Inc is 1073750766. It was assigned to this organization in the NPPES registry on January 16, 2009. The provider is doing business as Brewerton Ambulance.

Where is Brewerton Volunteer Fire Department Ambulance Inc located?

Brewerton Volunteer Fire Department Ambulance Inc is located at 9625 Brewerton Rd, Brewerton, NY 13029. The listed phone number is (315) 668-9789.

What is Brewerton Volunteer Fire Department Ambulance Inc's specialty?

The primary specialty registered for this NPI is Ambulance, specializing in Land Transport, with taxonomy code 3416L0300X.

Does Brewerton Volunteer Fire Department Ambulance Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2165951) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Brewerton Volunteer Fire Department Ambulance Inc was last updated on December 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.