Organization Active NPI

Trans Am Ambulance Services, Inc.

  • Land Ambulance
  • Olean, NY
National Provider Identifier
1649277617
Registry record updated Aug 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
10251 Issued in NY
Legal business name
TRANS AM AMBULANCE SERVICES, INC.
Practice address
305 N 8TH St
Olean, NY 14760-9549
Phone
(716) 372-5871
Fax
(716) 372-1856
NPI assigned
Jul 5, 2005
Last updated
Aug 9, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2023

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

Authorized official

Name
Robert A Jewell
Title
Chief Revenue Integration Officer
Phone
(844) 597-4911

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 10251 NY Primary
Non-emergency Medical Transport (VAN) 343900000X 32310 NY

Addresses

Primary practice location

305 N 8TH St
Olean, NY 14760-9549

Mailing address

PO Box 660886
Dallas, TX 75266-0886
Phone (716) 372-5871

Other identifiers 5

IdentifierTypeStateIssuer
1011821430001MedicaidPA
00931580MedicaidNY
8190081OtherNYINDEPENDENT HEALTH
00011213801OtherNYUNIVERA
000586002001OtherNYBLUE CROSS BLUE SHIELD WN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061113000423 NY Part B Supplier - Ambulance Service Supplier 3577561208 Practice locations: Olean, 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
33D1002088Trans Am Ambulance Services Inc305 N 8TH Street, Olean, NY 14760Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

Locations

305 N 8th St
Olean, NY 14760
Phone (716) 372-5871

NPI Registry JSON

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

{
    "created_epoch": "1120521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691539200000",
    "number": "1649277617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 660886",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752660886",
            "telephone_number": "716-372-5871",
            "fax_number": "716-372-1856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 N 8TH ST",
            "city": "OLEAN",
            "state": "NY",
            "postal_code": "147609549",
            "telephone_number": "716-372-5871",
            "fax_number": "716-372-1856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANS AM AMBULANCE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-05",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A",
        "authorized_official_last_name": "JEWELL",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHIEF REVENUE INTEGRATION OFFICER",
        "authorized_official_telephone_number": "844-597-4911"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NY",
            "license": "10251",
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NY",
            "license": "32310",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1011821430001",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00931580",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT HEALTH",
            "identifier": "8190081",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00011213801",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD WN",
            "identifier": "000586002001",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Olean, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2023; 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.