Westhampton War Memorial Ambulance Association, Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

WESTHAMPTON WAR MEMORIAL AMBULANCE ASSOCIATION, INC

Practice address

3 Hazelwood Ave
Westhampton Beach, NY 11978-1403

Phone

(631) 288-1760

Fax

(631) 288-1898

NPI assigned

Aug 4, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Robert Bancroft

Title

Chief

Phone

(631) 288-1760

Specialties & licenses 1

Addresses

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": "1659571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661299200000",
    "number": "1124755780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8610 MAIN ST",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142217455",
            "telephone_number": "716-204-3350",
            "fax_number": "716-247-5274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 HAZELWOOD AVE",
            "city": "WESTHAMPTON BEACH",
            "state": "NY",
            "postal_code": "119781403",
            "telephone_number": "631-288-1760",
            "fax_number": "631-288-1898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTHAMPTON WAR MEMORIAL AMBULANCE ASSOCIATION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-04",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A",
        "authorized_official_last_name": "BANCROFT",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "631-288-1760",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Land Ambulance in Westhampton Beach, NY
• Providers in Westhampton Beach, 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 24, 2022; 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.