West Glens Falls Emergency Squad Inc.

Primary specialty

AmbulanceTaxonomy code 341600000X

License

5623 Issued in NY

Legal business name

WEST GLENS FALLS EMERGENCY SQUAD INC.

Practice address

86 Luzerne Rd
Queensbury, NY 12804-3327

Phone

(518) 798-5011

NPI assigned

Sep 26, 2006

Last updated

Jun 3, 2008By 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

Mrs. Sandy J Boucher

Title

President

Phone

(888) 603-2455

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212451200000",
    "number": "1235230863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 676",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128010676",
            "telephone_number": "888-603-2455",
            "fax_number": "888-603-2455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86 LUZERNE RD",
            "city": "QUEENSBURY",
            "state": "NY",
            "postal_code": "128043327",
            "telephone_number": "518-798-5011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST GLENS FALLS EMERGENCY SQUAD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2008-06-03",
        "status": "A",
        "authorized_official_last_name": "BOUCHER",
        "authorized_official_first_name": "SANDY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "888-603-2455",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NY",
            "license": "5623",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02666517",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher J Weber, NPP
• Julia Vlada Weber, PMHNP
• Wegman Family (Glen Falls) LLC V (Landing at Queensbury)
• Kathleen Ann Welch, REGISTERED NURSE
• Shea Kathryn Wenzler, MHC-P
• .Laura Angele West, M.S.,CCC-SLP
• Toni A Westbrook, OTR/L
• Weston Paxxon PT, OT & SLP, PLLC
• Weston Paxxon PT, OT & SLP, PLLC
• Weston Paxxon PT, OT & SLP, PLLC.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2008; 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.