Waddington Rescue Squad Inc
Organization Active NPI Land Ambulance · Waddington, NY
NPI 1265623573 · NPPES record last updated Jan 11, 2018
Key facts
- NPI
- 1265623573
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- License
- 34386 (NY)
- Legal business name
- WADDINGTON RESCUE SQUAD INC
- Practice address
- 48 Maple Street
Waddington, NY 13694-0331 - Phone
- (315) 388-5641
- NPI assigned
- Aug 5, 2007
- Organization subpart
- No
Authorized official
- Name
- Julie McBath
- Title
- President
- Phone
- (315) 388-5641
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D2154424 | Waddington Rescue Squad Inc | Certificate of waiver | Mar 26, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20071213000018 | NY | Part B Supplier - Ambulance Service Supplier | 3072603174 | Practice locations: Waddington, NY |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 12267 | NY | |
| Land Ambulance | 3416L0300X | 34386 | NY | Yes |
Addresses
Primary practice location
48 Maple Street
Waddington, NY 13694-0331
Mailing address
8610 Main Street
Williamsville, NY 14221-4755
Phone (716) 204-3350
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02973884 | Medicaid | NY |
Other providers in Waddington, NY
All providers in Waddington, NY · Land Ambulance in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 11, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.