Healthcare Provider Details

I. General information

NPI: 1346277209
Provider Name (Legal Business Name): WCA SERVICES CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/27/2006
Last Update Date: 05/20/2024
Certification Date: 05/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

335 E 3RD ST
JAMESTOWN NY
14701-5554
US

IV. Provider business mailing address

PO BOX 41
JAMESTOWN NY
14702-0041
US

V. Phone/Fax

Practice location:
  • Phone: 716-664-7353
  • Fax: 716-487-2488
Mailing address:
  • Phone: 716-664-7353
  • Fax: 716-487-2488

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code341600000X
TaxonomyAmbulance
License Number0628
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number0654
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number0628
License Number StateNY
# 4
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number2300
License Number StateNY
# 5
Primary TaxonomyN
Taxonomy Code347B00000X
TaxonomyBus
License Number2300
License Number StateNY
# 6
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number0654
License Number StateNY

VIII. Authorized Official

Name: MR. DAVID T THOMAS
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 716-664-7353