Old Erie Emergency Services Inc

Primary specialty

AmbulanceTaxonomy code 341600000X

License

0000 Issued in NY

Legal business name

OLD ERIE EMERGENCY SERVICES INC

Doing business as

Jordan Ambulance

Practice address

1 N Hamilton St
Jordan, NY 13080-9799

Phone

(315) 689-3923

Fax

(315) 689-1262

NPI assigned

Nov 30, 2011

Last updated

Dec 20, 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

Douglas Milton

Title

Chief

Phone

(315) 689-3923

Specialties & licenses 1

Addresses

Other names 1

• Jordan Ambulance 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": "1322611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703030400000",
    "number": "1205103645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 535",
            "city": "BALDWINSVILLE",
            "state": "NY",
            "postal_code": "130270535",
            "telephone_number": "315-635-1789",
            "fax_number": "315-635-3289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 N HAMILTON ST",
            "city": "JORDAN",
            "state": "NY",
            "postal_code": "130809799",
            "telephone_number": "315-689-3923",
            "fax_number": "315-689-1262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLD ERIE EMERGENCY SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-30",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A",
        "authorized_official_last_name": "MILTON",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "315-689-3923"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NY",
            "license": "0000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jordan Ambulance",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Jordan Ambulance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer Lee Holbrook
• Jordan Volunteer Fire Company Inc
• Jordan-Elbridge Central School District
• Tracey Ann Klock, LPN
• Sarah E O'Neil, MA, CCC-SLP
• James R. Pickard
• Robin M Pollock, RN
• Wendie Smith, LMT
• Leesa Streeter, RN
• Jessica Ann Strong, RN

• Ambulance in Jordan, NY
• Providers in Jordan, NY by specialty
• Ambulance in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.