Active NPI
Williamson Volunteer Ambulance Service Inc
- Land Ambulance
- Williamson, NY
National Provider Identifier
1245563907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- WILLIAMSON VOLUNTEER AMBULANCE SERVICE INC
- Practice address
- 6334 Bennett St
Williamson, NY 14589-9252 - Phone
- (315) 589-8440
- NPI assigned
- Sep 14, 2009
- Last updated
- Feb 7, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nancy Gowan
- Title
- Treasurer
- Phone
- (315) 589-8440
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 5818 | NY | |
| Land Ambulance | 3416L0300X | NU | Primary |
Addresses
Primary practice location
6334 Bennett St
Williamson, NY 14589-9252
Mailing address
5530 Sheridan Dr
Suite 3B
Williamsville, NY 14221-3730
Phone (716) 204-3350
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100121000284 | NY | Part B Supplier - Ambulance Service Supplier | 1759423213 | Practice locations: Williamson, NY |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D2179351 | Williamson Volunteer Ambulance Service Inc | Certificate of waiver | Mar 26, 2027 |
National Provider Directory
National Provider DirectoryLocations
6334 Bennett St
Williamson, NY 14589
Phone (315) 589-8440
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252886400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1486425600000",
"number": "1245563907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5530 SHERIDAN DR",
"address_2": "SUITE 3B",
"city": "WILLIAMSVILLE",
"state": "NY",
"postal_code": "142213730",
"telephone_number": "716-204-3350",
"fax_number": "716-634-7670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6334 BENNETT ST",
"city": "WILLIAMSON",
"state": "NY",
"postal_code": "145899252",
"telephone_number": "315-589-8440"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILLIAMSON VOLUNTEER AMBULANCE SERVICE INC",
"organizational_subpart": "NO",
"enumeration_date": "2009-09-14",
"last_updated": "2017-02-07",
"status": "A",
"authorized_official_last_name": "GOWAN",
"authorized_official_first_name": "NANCY",
"authorized_official_title_or_position": "TREASURER",
"authorized_official_telephone_number": "315-589-8440"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "NY",
"license": "5818",
"primary": false
},
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Williamson, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2017; 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.