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MONTGOMERY COUNTY
NPI 1366122616
Ambulance in Fultonville, NY

Active since July 21, 2023CLIA Certified · 2 labs
200 CLARK DR, FULTONVILLE, NY 12072(518) 853-5500(518) 853-4096 Get Directions Write a Review

NPPES record last updated: July 21, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Montgomery County NPPES

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

MONTGOMERY COUNTY (NPI 1366122616) is a healthcare organization registered as an ambulance in Fultonville, New York and active in the NPI registry since July 2023. The organization holds 2 active CLIA laboratory certificates and lists Justin C Smith, Sargent, as its authorized official.

NPPES Registry Identity

NPI1366122616
Entity TypeOrganization
Primary Taxonomy341600000X
Legal Business NameMONTGOMERY COUNTY
Location Address200 CLARK DRFultonville, NY 12072
Mailing AddressPo Box 787Latham, NY 12110-0787 · (888) 603-2455
Phone(518) 853-5500
Fax(518) 853-4096
Organization SubpartYes
Authorized OfficialJustin C SmithSargent · (518) 853-5500
Enumeration DateJuly 21, 2023
NPPES CertifiedJuly 19, 2023
✔ NPI 1366122616 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulanceTransportation Services
Taxonomy Code341600000X
Definition
An emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane).
200 CLARK DR, Fultonville, NY 12072
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Other Names 1

Other NameMontgomery County Ems

CLIA Laboratory Certificates CMS CLIA 2

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 33D2312009

Montgomery County Ems · Fultonville, NY
Active · expires Mar 26, 2027
CLIA Number33D2312009
Laboratory TypeAmbulance
Certificate Effective DateOctober 2, 2024
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Katrina M. Kardos
Laboratory Phone(518) 853-5500
Laboratory LocationMontgomery County Ems200 Clark Dr, Fultonville, NY 12072
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 33D2270590

Montgomery County Correctional Facility · Fultonville, NY
Active · expires Mar 26, 2027
CLIA Number33D2270590
Laboratory TypePrison
Certificate Effective DateOctober 18, 2022
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorMichael Gandt
Laboratory Phone(518) 853-5528
Laboratory LocationMontgomery County Correctional Facility200 Clark Dr, Fultonville, NY 12072
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.
2,305 services113 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.
87 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.
49 services43 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 Montgomery County's NPI number?

The NPI number for Montgomery County is 1366122616. It was assigned to this organization in the NPPES registry on July 21, 2023. The provider is also known as Montgomery County EMS.

Where is Montgomery County located?

Montgomery County is located at 200 Clark Dr, Fultonville, NY 12072. The listed phone number is (518) 853-5500.

What is Montgomery County's specialty?

The primary specialty registered for this NPI is Ambulance with taxonomy code 341600000X.

Does Montgomery County hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Montgomery County was last updated on July 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.