Active NPI
Trans Am Ambulance Services, Inc.
- Land Ambulance
- Olean, NY
National Provider Identifier
1649277617
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 10251
- 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, 2023
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1011821430001 | Medicaid | PA | |
| 00931580 | Medicaid | NY | |
| 8190081 | Other | NY | INDEPENDENT HEALTH |
| 00011213801 | Other | NY | UNIVERA |
| 000586002001 | Other | NY | BLUE CROSS BLUE SHIELD WN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20061113000423 | NY | Part B Supplier - Ambulance Service Supplier | 3577561208 | Practice locations: Olean, NY |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D1002088 | Trans Am Ambulance Services Inc | Certificate of waiver | Mar 26, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.