Coventry Emergency Squad, Inc.

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

30300 Issued in NY

Legal business name

COVENTRY EMERGENCY SQUAD, INC.

Practice address

109 North Rd
Greene, NY 13778-2377

Phone

(607) 371-1141

NPI assigned

Jan 16, 2012

Last updated

Jan 16, 2012By 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

Kyle Wearne

Title

President

Phone

(607) 371-1141

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

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

CLIA laboratory certificates

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

{
    "created_epoch": "1326672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326672000000",
    "number": "1477824969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 NORTH RD",
            "city": "GREENE",
            "state": "NY",
            "postal_code": "137782377",
            "telephone_number": "607-371-1141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 NORTH RD",
            "city": "GREENE",
            "state": "NY",
            "postal_code": "137782377",
            "telephone_number": "607-371-1141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVENTRY EMERGENCY SQUAD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-16",
        "last_updated": "2012-01-16",
        "status": "A",
        "authorized_official_last_name": "WEARNE",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "607-371-1141"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NY",
            "license": "30300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Virginia L Arciolla, RPH
• Megan Elizabeth Brown, CPHT
• Kay A Clark, MS IN SPECIAL EDUCA
• Melissa Marie Collins
• Linnea Congdon, NP
• Lisa Dutcher
• Eliza Whitaker Wellness, LLC (Nourished Nutrition and Fitness)
• Engler Family Health Nurse Practitioner, PLLC
• Marc Feldman, D.D.S.
• Jordan Ford, NP

• Land Ambulance in Greene, NY
• Providers in Greene, 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 16, 2012; 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.