Organization Active NPI

Cattaraugus Area Ambulance Service, Inc.

  • Land Ambulance
  • Cattaraugus, NY
National Provider Identifier
1811064892
Registry record updated Oct 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
0412 Issued in NY
Legal business name
CATTARAUGUS AREA AMBULANCE SERVICE, INC.
Practice address
2 Memorial Dr.
Cattaraugus, NY 14170
Phone
(716) 257-3294
NPI assigned
Nov 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2007

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

Authorized official

Name
Ken Charles
Title
Captain
Phone
(716) 257-3294

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 0412 NY Primary

Addresses

Primary practice location

2 Memorial Dr.
Cattaraugus, NY 14170

Mailing address

PO Box 186
Le Roy, NY 14482-0186
Phone (585) 768-2192

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070724000394 NY Part B Supplier - Ambulance Service Supplier 5890896609 Practice locations: Cattaraugus, NY

National Provider Directory

National Provider Directory

Locations

211 S Main St
Cattaraugus, NY 14719
Phone (716) 257-3294

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192665600000",
    "number": "1811064892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 186",
            "city": "LE ROY",
            "state": "NY",
            "postal_code": "144820186",
            "telephone_number": "585-768-2192",
            "fax_number": "585-768-7323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 MEMORIAL DR.",
            "city": "CATTARAUGUS",
            "state": "NY",
            "postal_code": "14170",
            "telephone_number": "716-257-3294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATTARAUGUS AREA AMBULANCE SERVICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2007-10-18",
        "status": "A",
        "authorized_official_last_name": "CHARLES",
        "authorized_official_first_name": "KEN",
        "authorized_official_title_or_position": "CAPTAIN",
        "authorized_official_telephone_number": "716-257-3294"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NY",
            "license": "0412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cattaraugus, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.