Town of Windham

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

0296 Issued in NY

Legal business name

TOWN OF WINDHAM

Practice address

4786 State Route 23
Windham, NY 12496-5466

Phone

(518) 734-5574

Fax

(518) 734-6058

NPI assigned

Jan 5, 2007

Last updated

Nov 21, 2024By 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

Thomas Frederick Hoyt

Title

Town Supervisor

Phone

(518) 734-4170

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Town of Windham Ambulance Other name

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732147200000",
    "number": "1235286782",
    "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": "4786 STATE ROUTE 23",
            "city": "WINDHAM",
            "state": "NY",
            "postal_code": "124965466",
            "telephone_number": "518-734-5574",
            "fax_number": "518-734-6058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF WINDHAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A",
        "authorized_official_last_name": "HOYT",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "FREDERICK",
        "authorized_official_title_or_position": "TOWN SUPERVISOR",
        "authorized_official_telephone_number": "518-734-4170"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NY",
            "license": "0296",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01786016",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Town of Windham Ambulance",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Town of Windham Ambulance",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Robert Otten Jr., DC
• William Thomas Quackenbush III, RPH
• Rumi Sarkar
• SG Lisenced Behavior Analyst PC
• Teri Martin Family Nurse Practitioner PC
• Ilse Berenice Turkmani
• Windham Ashland Jewett CSD
• Windham Pharma Inc (Windham Pharmacy)
• Windham Pharmacy of Greene County Inc (Windham Pharmacy)

• Land Ambulance in Windham, NY
• Providers in Windham, 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 Nov 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.