Town of Tully

Primary specialty

AmbulanceTaxonomy code 341600000X

License

10383 Issued in NY

Legal business name

TOWN OF TULLY

Practice address

1 Railroad St
Tully, NY 13159-3245

Phone

(315) 696-6414

Fax

(315) 696-8396

NPI assigned

Jun 13, 2006

Last updated

Jul 30, 2024By 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

Chad Wakula

Title

Captain

Phone

(315) 696-6414

Specialties & licenses 1

Addresses

Other identifiers 3

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

Locations

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722297600000",
    "number": "1588607352",
    "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": "315-635-1789",
            "fax_number": "315-635-3289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 RAILROAD ST",
            "city": "TULLY",
            "state": "NY",
            "postal_code": "131593245",
            "telephone_number": "315-696-6414",
            "fax_number": "315-696-8396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF TULLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-13",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A",
        "authorized_official_last_name": "WAKULA",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "CAPTAIN",
        "authorized_official_telephone_number": "315-696-6414"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NY",
            "license": "10383",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01943255",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "959978",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "350751",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Darcy Shirtz, LPN
• Jahleh Mohammadi St George, LMHC, RPT, CCPT
• Gregory Scott Steencken, MD
• Christine Ann Stewart, RN
• Susan S Thomas, LCSW
• Tully Central School District
• Tully Dental Office,LLP
• Tully Hill
• Amanda Mae Walters

• Ambulance in Tully, NY
• Providers in Tully, NY by specialty
• Ambulance in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; 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.