Organization Active NPI

Wellsville Volunteer Ambulance Corps Inc

  • Land Ambulance
  • Wellsville, NY
National Provider Identifier
1679699755
Registry record updated Aug 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
31373 Issued in NY
Legal business name
WELLSVILLE VOLUNTEER AMBULANCE CORPS INC
Practice address
37 S Main St
Wellsville, NY 14895-1534
Phone
(585) 593-1800
Fax
(585) 596-4108
NPI assigned
Mar 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2014

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

Authorized official

Name
Mr. Kenneth Malloy
Title
President
Phone
(585) 593-1800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 31373 NY Primary

Addresses

Primary practice location

37 S Main St
Wellsville, NY 14895-1534

Mailing address

37 S Main St
Wellsville, NY 14895-1534
Phone (585) 593-1800

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120518000312 NY Part B Supplier - Ambulance Service Supplier 4880857424 Practice locations: Wellsville, 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
33D2327369Wellsville Volunteer Ambulance Corps Inc37 S Main St, Wellsville, NY 14895Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406851200000",
    "number": "1679699755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 S MAIN ST",
            "city": "WELLSVILLE",
            "state": "NY",
            "postal_code": "148951534",
            "telephone_number": "585-593-1800",
            "fax_number": "585-593-5688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 S MAIN ST",
            "city": "WELLSVILLE",
            "state": "NY",
            "postal_code": "148951534",
            "telephone_number": "585-593-1800",
            "fax_number": "585-596-4108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLSVILLE VOLUNTEER AMBULANCE CORPS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2014-08-01",
        "status": "A",
        "authorized_official_last_name": "MALLOY",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "585-593-1800",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NY",
            "license": "31373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellsville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2014; 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.