WOLCOTT AREA VOLUNTEER AMBULANCE CORP, INC. (NPI# 1205803939) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205803939 |
| Entity Type | Organization |
| Organization Name | WOLCOTT AREA VOLUNTEER AMBULANCE CORP, INC. |
| Practice Address |
5841 New Hartford St Wolcott NY 14590-1136 |
| Mailing Address |
Po Box 186 Le Roy NY 14482-0186 |
| Practice Telephone | 5857682192 |
| Practice Fax Number | 5857687323 |
| Mailing Telephone | 5857682192 |
| Mailing Fax Number | 5857687323 |
| Enumeration Date | 2006-03-01 |
| Last Update Date | 2008-01-02 |
| Authorized Official Name | GEORGE LOCKWOOD (DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 5857682192 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
5823 | NY | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | MEDICARE RAILROAD | P00240076 | 01 |
| NY | 01995679 | 05 |
| Street Address |
5841 NEW HARTFORD ST |
| City | WOLCOTT |
| State | NY |
| Zip Code | 14590-1136 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083604540 | Lakeshore Volunteer Ambulance Inc | Ambulance | 5841 New Hartford St, Wolcott, NY 14590-1136 | 2005-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740797653 | Chantel Melanie Upson Lockwood | Social Worker | 12044 E. Main St., Wolcott, NY 14590 | 2018-01-02 |
| 1891089579 | John Peter Goodbody | Physical Therapist | 8335 Graves Pt., Wolcott, NY 14590 | 2011-05-31 |
| 1568786101 | Maryellen Papaleo | Licensed Practical Nurse | 10809 Lummisville Road, Wolcott, NY 14590 | 2010-03-25 |
| 1538309869 | Susan T. Lapp | Occupational Therapist | 11926 West Main Street, Wolcott, NY 14590 | 2009-02-26 |
| 1669434577 | Kim M Jablonski | Physical Therapist | 12010 Main St, Wolcott, NY 14590 | 2006-04-05 |
| 1376505289 | Susan J Deking | Physical Therapist | 12010 Main St, Wolcott, NY 14590 | 2006-04-05 |
| 1366930422 | Sheila M Syrell | Licensed Practical Nurse | 12005 E Main St # 2, Wolcott, NY 14590-1021 | 2018-04-24 |
| 1295150357 | Amanda Randall | Chiropractor | 12039 E Main St, Wolcott, NY 14590-1021 | 2014-02-26 |
| 1427506906 | Tina Reed | Early Intervention Provider Agency | 12044 E Main St, Wolcott, NY 14590-1022 | 2016-09-14 |
| 1588923742 | Wolcott Pharmacy LLC | Pharmacy | 12042 E Main St, Wolcott, NY 14590-1022 | 2012-05-09 |
| Find all providers in zip 14590 | ||||
| Taxonomy Code | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134138605 | Town of Wolcott | Ambulance | 116 S. Range St., Wolcott, IN 47995 | 2006-08-05 |
| 1194798298 | Wolcott Volunteer Ambulance Association, Inc | Ambulance | 48 Todd Rd, Wolcott, CT 06716-2821 | 2006-02-09 |
| 1083604540 | Lakeshore Volunteer Ambulance Inc | Ambulance | 5841 New Hartford St, Wolcott, NY 14590-1136 | 2005-10-26 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.