Town of Lyons

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

34226 Issued in NY

Legal business name

TOWN OF LYONS

Doing business as

Town of Lyons Ambulance

Practice address

122 1/2 Broad St
Lyons, NY 14489-1042

Phone

(315) 946-6252

Fax

(315) 946-0060

NPI assigned

Jul 16, 2006

Organization subpart

No

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

Authorized official

Name

John Wiltsie

Title

Ambulance Admin

Phone

(315) 651-5768

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Town of Lyons Ambulance Doing business as

Locations

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641427200000",
    "number": "1407873201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 535",
            "city": "BALDWINSVILLE",
            "state": "NY",
            "postal_code": "130270535",
            "telephone_number": "800-927-5845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 1/2 BROAD ST",
            "city": "LYONS",
            "state": "NY",
            "postal_code": "144891042",
            "telephone_number": "315-946-6252",
            "fax_number": "315-946-0060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF LYONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2022-01-06",
        "certification_date": "2022-01-06",
        "status": "A",
        "authorized_official_last_name": "WILTSIE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "AMBULANCE ADMIN",
        "authorized_official_telephone_number": "315-651-5768"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NY",
            "license": "10510",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NY",
            "license": "34226",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00908567",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Town of Lyons Ambulance",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Town of Lyons Ambulance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pamela S Taylor, RN, BSN
• Tamara Tesler, LMHC
• Christopher Joseph Thomas, CASAC
• Elizabeth Thomas, MSW
• Brandon Towey, MD
• Alaina Leann Tripp
• Kara An Trosinski, MSCAS
• Linda L Trout, RN
• Nicole Urban
• William Nicholas Van Horn, PMHNP

• Land Ambulance in Lyons, NY
• Providers in Lyons, 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 Jan 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.