Waterville Area Volunteer Ambulance Corp Inc.

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

3229 Issued in NY

Legal business name

WATERVILLE AREA VOLUNTEER AMBULANCE CORP INC.

Practice address

7769 State Route 20
Waterville, NY 13480-2205

Phone

(315) 841-4400

Fax

(315) 841-4400

NPI assigned

Oct 10, 2005

Last updated

Aug 22, 2020By 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. Gary E Orendorff

Title

President of Board

Phone

(315) 861-7604

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1128902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619965068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4066",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135044066",
            "telephone_number": "315-724-6619",
            "fax_number": "315-797-2589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7769 STATE ROUTE 20",
            "city": "WATERVILLE",
            "state": "NY",
            "postal_code": "134802205",
            "telephone_number": "315-841-4400",
            "fax_number": "315-841-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATERVILLE AREA VOLUNTEER AMBULANCE CORP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ORENDORFF",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT OF BOARD",
        "authorized_official_telephone_number": "315-861-7604",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NY",
            "license": "3229",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01448631",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen Alison Spencer, OTR/L
• Mallory Sullivan, DO
• The American People Services, Inc
• David Joseph Trombetta, NP
• View Point Clinical Therapy Services, LCSW,PLLC
• Waterville Central School
• Cindy Wessling, LPN
• Lauren Williams, LCSW
• Heather L Willson, RN
• Makenzi Wilson, DPT

• Land Ambulance in Waterville, NY
• Providers in Waterville, 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 Aug 22, 2020; 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.