Rockwell Falls Ambulance Service Inc

Primary specialty

AmbulanceTaxonomy code 341600000X

License

13286 Issued in NY

Legal business name

ROCKWELL FALLS AMBULANCE SERVICE INC

Doing business as

Luzerne - Hadley EMS

Practice address

35 Lake Ave
Lake Luzerne, NY 12846-2323

Phone

(518) 696-2511

NPI assigned

May 25, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Jack Fazio

Title

President

Phone

(518) 696-3289

Specialties & licenses 1

Addresses

Other names 1

• Luzerne - Hadley EMS Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

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

{
    "created_epoch": "1274745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355270400000",
    "number": "1245559640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 WASHINGTON AVE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122102200",
            "telephone_number": "888-603-2455",
            "fax_number": "518-391-2601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 LAKE AVE",
            "city": "LAKE LUZERNE",
            "state": "NY",
            "postal_code": "128462323",
            "telephone_number": "518-696-2511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKWELL FALLS AMBULANCE SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-25",
        "last_updated": "2012-12-12",
        "status": "A",
        "authorized_official_last_name": "FAZIO",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "518-696-3289",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NY",
            "license": "13286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Luzerne - Hadley EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Leigh Harold McConchie, RPH
• Dolores Ann McNeil
• Brittney T Murray, MS
• Richard Jesse Nicholson
• Joe Quellman, M.D.
• Michele R Silva, M.S., CCC/SLP
• Stone'S Pharmacy Inc.
• Jean Szachacz, MA CCC-SLP
• Gabrielle Vanwie

• Ambulance in Lake Luzerne, NY
• Providers in Lake Luzerne, 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 12, 2012; 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.