Organization Active NPI

Wallkill Volunteer Ambulance Corp Inc

  • Ambulance
  • Wallkill, NY
National Provider Identifier
1144363003
Registry record updated May 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
5524 Issued in NY
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

Updated by the provider on May 20, 2013

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
O20040329001506 NY Part B Supplier - Ambulance Service Supplier 6103718598 Practice locations: Wallkill, NY

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2168614Wallkill Volunteer Ambulance Corps Inc231 First Street, Wallkill, NY 12589Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.