Town of Fremont Volunteer Fire Department No. 1, Inc.

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

TOWN OF FREMONT VOLUNTEER FIRE DEPARTMENT NO. 1, INC.

Practice address

RT 21 and Cream Hill Road
Arkport, NY 14807

Phone

(607) 324-4133

NPI assigned

Feb 9, 2023

Last updated

Feb 10, 2023By 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

Mary Smith

Title

Captain

Phone

(607) 324-4133

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

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

{
    "created_epoch": "1675900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675987200000",
    "number": "1053018069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8610 MAIN ST",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142217455",
            "telephone_number": "716-204-3350",
            "fax_number": "716-247-5274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RT 21 AND CREAM HILL ROAD",
            "city": "ARKPORT",
            "state": "NY",
            "postal_code": "14807",
            "telephone_number": "607-324-4133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF FREMONT VOLUNTEER FIRE DEPARTMENT NO. 1, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-09",
        "last_updated": "2023-02-10",
        "certification_date": "2023-02-10",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "CAPTAIN",
        "authorized_official_telephone_number": "607-324-4133"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katie Ann Cross-Gray, M.A., CCC-SLP
• Amy Harris
• Angela Lyn Herman, M.S., CCC-SLP
• Carolyn Mahany-Schunk, LMHC
• Andrea Beth Spitulnik, MS, CCC-SLP
• Lisa A Wellington, LPN

• Land Ambulance in Arkport, NY
• Providers in Arkport, 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 Feb 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.