Healthcare Provider Details

I. General information

NPI: 1912910670
Provider Name (Legal Business Name): WARWICK COMMUNITY AMBULANCE SERVICE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/14/2006
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

146 S STREET EXT
WARWICK NY
10990-1803
US

IV. Provider business mailing address

PO BOX 535
BALDWINSVILLE NY
13027-0535
US

V. Phone/Fax

Practice location:
  • Phone: 845-986-4047
  • Fax: 845-291-4412
Mailing address:
  • Phone: 800-927-5845
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number3530
License Number StateNY

VIII. Authorized Official

Name: MS. JOANN CHENEY
Title or Position: ADMINISTRATOR
Credential:
Phone: 845-986-4136