Utica Ambulance Service, Inc.

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

3216 Issued in NY

Legal business name

UTICA AMBULANCE SERVICE, INC.

Doing business as

Kunkel Ambulance Service

Practice address

410 Catherine St
Utica, NY 13501-1211

Phone

(315) 724-6619

Fax

(315) 797-2589

NPI assigned

Jun 14, 2006

Last updated

Aug 9, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Robert A Jewell

Title

Chief Revenue Integration Officer

Phone

(844) 597-4911

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Kunkel Ambulance Service Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691539200000",
    "number": "1043253370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 660887",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752660887",
            "telephone_number": "315-724-6619",
            "fax_number": "315-797-2589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 CATHERINE ST",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135011211",
            "telephone_number": "315-724-6619",
            "fax_number": "315-797-2589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UTICA AMBULANCE SERVICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-14",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A",
        "authorized_official_last_name": "JEWELL",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHIEF REVENUE INTEGRATION OFFICER",
        "authorized_official_telephone_number": "844-597-4911"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NY",
            "license": "3216",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NY",
            "license": "3216",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00503571",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kunkel Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kunkel Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Sidney Uquillas, LMSW
• Urnc Operating, LLC (Utica Rehabilitation & Nursing Center)
• US Care Systems, Inc
• Utica Ah Operations Associates LLC (Focus Senior Living at Utica)
• Utica Catholic Charities (Catholic Charities of Oneida-Madison County)
• Utica City School District
• Utica City School District
• Utica Crossings LLC
• Utica Nutrition Services Certified Dietitian Nutritionist (Utica Nutrition Services)

• Land Ambulance in Utica, NY
• Providers in Utica, NY by specialty
• Land Ambulance in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.