Active NPI
Wallkill Volunteer Ambulance Corp Inc
- Ambulance
- Wallkill, NY
National Provider Identifier
1144363003
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 5524
- Legal business name
- WALLKILL VOLUNTEER AMBULANCE CORP INC
- Practice address
- 231 First St.
Wallkill, NY 12589-0221 - Phone
- (845) 863-6311
- Fax
- (845) 895-2601
- NPI assigned
- Feb 14, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Charles V Work
- Title
- Treasurer
- Phone
- (845) 863-6311
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 5524 | NY | Primary |
Addresses
Primary practice location
231 First St.
Wallkill, NY 12589-0221
Mailing address
PO Box 221
Wallkill, NY 12589-0221
Phone (845) 895-2601
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040329001506 | NY | Part B Supplier - Ambulance Service Supplier | 6103718598 | Practice locations: Wallkill, NY |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D2168614 | Wallkill Volunteer Ambulance Corps Inc | Certificate of waiver | Mar 26, 2027 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171411200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1369008000000",
"number": "1144363003",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 221",
"city": "WALLKILL",
"state": "NY",
"postal_code": "125890221",
"telephone_number": "845-895-2601",
"fax_number": "845-895-2601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "231 FIRST ST.",
"city": "WALLKILL",
"state": "NY",
"postal_code": "125890221",
"telephone_number": "845-863-6311",
"fax_number": "845-895-2601"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WALLKILL VOLUNTEER AMBULANCE CORP INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-14",
"last_updated": "2013-05-20",
"status": "A",
"authorized_official_last_name": "WORK",
"authorized_official_first_name": "CHARLES",
"authorized_official_middle_name": "V",
"authorized_official_title_or_position": "TREASURER",
"authorized_official_telephone_number": "845-863-6311",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "NY",
"license": "5524",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wallkill, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2013; 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.