Organization Active NPI

Williamson Volunteer Ambulance Service Inc

  • Land Ambulance
  • Williamson, NY
National Provider Identifier
1245563907
Registry record updated Feb 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
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, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2017

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
O20100121000284 NY Part B Supplier - Ambulance Service Supplier 1759423213 Practice locations: Williamson, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2179351Williamson Volunteer Ambulance Service Inc6334 Bennett St, Williamson, NY 14589Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.