Ellicottville Great Valley Ambulance Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

0427 Issued in NY

Legal business name

ELLICOTTVILLE GREAT VALLEY AMBULANCE INC

Practice address

Filmore Ave
Ellicottville, NY 14731-0074

Phone

(716) 945-1398

Fax

(716) 945-3340

NPI assigned

Oct 10, 2005

Last updated

Oct 22, 2007By 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

Mr. Stephen WardNPI 1891999827

Title

Authorized Agent

Phone

(716) 699-2300

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stephen Patrick Ward, RPH.

  • Pharmacist
  • Ellicottviille, NY
  • NPI 1891999827
  Authorized official Same address or phone

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

{
    "created_epoch": "1128902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193011200000",
    "number": "1336137884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 INTERNATIONAL DR",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142215723",
            "telephone_number": "716-204-3350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "FILMORE AVE",
            "city": "ELLICOTTVILLE",
            "state": "NY",
            "postal_code": "147310074",
            "telephone_number": "716-945-1398",
            "fax_number": "716-945-3340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLICOTTVILLE GREAT VALLEY AMBULANCE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-10",
        "last_updated": "2007-10-22",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "AUTHORIZED AGENT",
        "authorized_official_telephone_number": "716-699-2300",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NY",
            "license": "0427",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02653703",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lindsey Marie Bradley
• Chantele Comstock, LPN
• Tracy J Draper
• Ellicottville Central School
• Ellicottville Eye Care, PC
• Ellicottville Medical
• Ellicottville Oasis Day Spa Inc.
• Ellicottville Optical Inc.
• Ellicottville Pharmacy Inc
• Ellicottville Pharmacy Inc

• Land Ambulance in Ellicottville, NY
• Providers in Ellicottville, 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 Oct 22, 2007; 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.