WALDEN AMBULANCE CORP (NPI# 1558595512) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558595512 |
| Entity Type | Organization |
| Organization Name | WALDEN AMBULANCE CORP |
| Practice Address |
22 South Montgomery Street Walden NY 12586-0025 |
| Mailing Address |
8610 Main Street Williamsville NY 14221 |
| Practice Telephone | 8452881911 |
| Practice Fax Number | 8457789074 |
| Mailing Telephone | 7162043350 |
| Mailing Fax Number | 7162475274 |
| Enumeration Date | 2009-05-06 |
| Last Update Date | 2017-10-26 |
| Authorized Official Name | KYLE SHORETTE (PRESIDENT) |
| Authorized Official Telephone | 8452881911 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3416L0300X |
Ambulance Specialization: Land Transport |
11982 | NY | Transportation Services |
| N | 3416L0300X |
Ambulance Specialization: Land Transport |
31266 | NY | Transportation Services |
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
Transportation Services |
| Street Address |
22 SOUTH MONTGOMERY STREET |
| City | WALDEN |
| State | NY |
| Zip Code | 12586-0025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396098000 | A Class 1-s Transportation Corporation | Non-emergency Medical Transport (VAN) | 56 Monro Street, Walden, NY 12586 | 2012-10-18 |
| 1851572978 | Cynthia Grant | Licensed Practical Nurse | 336 Derea Rd., Walden, NY 12586 | 2007-11-16 |
| 1568657005 | Walden Medical, Pllc | Physician Assistant | 142 South Montgomery St, Walden, NY 12586 | 2007-09-07 |
| 1053495176 | Samuel Michael Cerone | Physical Therapist | 152 Orange Ave, Walden, NY 12586 | 2006-10-25 |
| 1851480883 | Faisal Uppal | Dentist | 10 Orchard St., Hampton Family Dentistry of Walden, Walden, NY 12586 | 2006-10-11 |
| 1376649335 | Lcl Physical Therapy | Physical Therapist | 152 Orange Avenue, Orange Physical Therapy, Walden, NY 12586 | 2006-09-16 |
| 1649372988 | Khanjee Pharmacy Inc | Pharmacy | 38 Grant Street, Walden, NY 12586 | 2006-09-05 |
| 1760446389 | Donald P Segal | Podiatrist | 13 Orange Ave, Walden, NY 12586 | 2006-04-12 |
| 1568939627 | Karen J Schreiber | Registered Nurse | 21 Pleasant Ave, Walden, NY 12586 | 2018-10-26 |
| 1578786109 | Yoo Seok Lee | Dentist | 57 Main Street, Walden, NY 12586 | 2007-04-11 |
| Find all providers in zip 12586 | ||||
| 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 |
|---|---|---|---|---|
| 1891864831 | North Park Hospital District | Ambulance | 340 Mckinley Street, Walden, CO 80480 | 2006-11-06 |
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| Find all providers with the same taxonomy | ||||
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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.