Mohawk Council of Akwesasne

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

32787 Issued in NY

Legal business name

MOHAWK COUNCIL OF AKWESASNE

Practice address

818 State Route 37
Akwesasne, NY 13655-2175

Phone

(613) 575-2341

Fax

(613) 575-2341

NPI assigned

Aug 7, 2017

Last updated

Aug 7, 2017By 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

Jordan Wapass

Title

Executive Director

Phone

(613) 575-2341

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

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

{
    "created_epoch": "1502064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502064000000",
    "number": "1043735491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5530 SHERIDAN DR STE 3B",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142213730",
            "telephone_number": "716-204-3350",
            "fax_number": "716-634-7170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 STATE ROUTE 37",
            "city": "AKWESASNE",
            "state": "NY",
            "postal_code": "136552175",
            "telephone_number": "613-575-2341",
            "fax_number": "613-575-2341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOHAWK COUNCIL OF AKWESASNE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-07",
        "last_updated": "2017-08-07",
        "status": "A",
        "authorized_official_last_name": "WAPASS",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "613-575-2341"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NY",
            "license": "32787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah A Fent, RDH
• Barbara George, OPTICIAN
• Benson J Kelly, MD
• Gerald Roger Lauzon, DO
• Tanya Lockwood, RN
• Anita M. Plann, MPC
• Thomas Albert Saxby
• Zachary Joseph Smith, PA
• St Regis Mohawk Tribe (St Regis Mohawk Health Services)
• St Regis Mohawk Tribe (Partridge House)

• Land Ambulance in Akwesasne, NY
• Providers in Akwesasne, 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 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.