Delevan Volunteer Fire Co Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

DELEVAN VOLUNTEER FIRE CO INC

Practice address

85 S Main St
Delevan, NY 14042-9416

Phone

(716) 492-0821

NPI assigned

Sep 19, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Christopher Hazeltine

Title

EMS Captain

Phone

(716) 492-0821

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1695081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695081600000",
    "number": "1114705282",
    "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": "85 S MAIN ST",
            "city": "DELEVAN",
            "state": "NY",
            "postal_code": "140429416",
            "telephone_number": "716-492-0821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELEVAN VOLUNTEER FIRE CO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-19",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A",
        "authorized_official_last_name": "HAZELTINE",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "EMS CAPTAIN",
        "authorized_official_telephone_number": "716-492-0821"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kandice Joy Debeau, R.N.
• Karen M Dettelis, LPN
• Ralph Anthony Disarno, LPN
• Marybeth Christina Freitas, MS/CCC-SLP
• Paula S Green, LPN
• Andrew John Haynes

• All providers in Delevan, NY
• Land Ambulance in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.