Glendale Volunteer Ambulance

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

7383 Issued in NY

Legal business name

GLENDALE VOLUNTEER AMBULANCE

Practice address

6114 Myrtle Ave
Glendale, NY 11385-6235

Phone

(585) 768-2192

NPI assigned

Feb 28, 2006

Last updated

Oct 17, 2014By 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

Ryan Gunning

Title

President

Phone

(585) 768-2192

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1141084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413504000000",
    "number": "1932176864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8020 E MAIN RD",
            "city": "LE ROY",
            "state": "NY",
            "postal_code": "144829704",
            "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": "6114 MYRTLE AVE",
            "city": "GLENDALE",
            "state": "NY",
            "postal_code": "113856235",
            "telephone_number": "585-768-2192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENDALE VOLUNTEER AMBULANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-28",
        "last_updated": "2014-10-17",
        "status": "A",
        "authorized_official_last_name": "GUNNING",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "585-768-2192"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NY",
            "license": "7383",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01615961",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Glendale Medical Associates PC
• Glendale Medical Associates PC
• Glendale Medical Group
• Glendale Pediatrics P.C.
• Glendale Pharmacy Inc (Aps)
• Glendale Walk-in Medical Care, PC
• Glenridge Pharmacy LLC
• Glenwood Podiatry PC
• Breanna Glosson
• Frank Edward Golbig, M.A.

• Land Ambulance in Glendale, NY
• Providers in Glendale, 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 Oct 17, 2014; 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.