Organization Active NPI

Erway Ambulance Service, Inc.

  • Land Ambulance
  • Elmira Heights, NY
National Provider Identifier
1609960210
Registry record updated Feb 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
10673 Issued in NY
Legal business name
ERWAY AMBULANCE SERVICE, INC.
Practice address
2030 College Avenue
Elmira Heights, NY 14903-1600
Phone
(607) 734-5017
Fax
(607) 732-2956
NPI assigned
Oct 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2009

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

Authorized official

Name
James Kintz
Title
Ceo
Phone
(607) 734-5017

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 10673 NY Primary

Addresses

Primary practice location

2030 College Avenue
Elmira Heights, NY 14903-1600

Mailing address

2030 College Avenue
Elmira Heights, NY 14903-1600
Phone (607) 734-5017

Other identifiers 1

IdentifierTypeStateIssuer
00320347MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041118000644 NY Part B Supplier - Ambulance Service Supplier 4385608330 Practice locations: Elmira, NY; Horseheads, NY; Elmira Heights, NY

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D0998898Erway Ambulance Service Inc2030 College Avenue, Elmira Heights, NY 14903Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

Locations

812 Hazel St
Elmira, NY 14904
Phone 6077327741208

2030 College Ave
Elmira Hts, NY 14903
Phone (607) 732-7741

174 Miller St
Horseheads, NY 14845
Phone 6077327741208

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235001600000",
    "number": "1609960210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2030 COLLEGE AVENUE",
            "city": "ELMIRA HEIGHTS",
            "state": "NY",
            "postal_code": "149031600",
            "telephone_number": "607-734-5017",
            "fax_number": "607-732-2956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 COLLEGE AVENUE",
            "city": "ELMIRA HEIGHTS",
            "state": "NY",
            "postal_code": "149031600",
            "telephone_number": "607-734-5017",
            "fax_number": "607-732-2956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERWAY AMBULANCE SERVICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2009-02-19",
        "status": "A",
        "authorized_official_last_name": "KINTZ",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "607-734-5017"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NY",
            "license": "10673",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00320347",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmira Heights, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2009; 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.