Fluvanna Fire District

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

FLUVANNA FIRE DISTRICT

Practice address

3536 Fluvanna Avenue Ext
Fluvanna, NY 14701-9728

Phone

(716) 483-8505

Fax

(716) 483-0438

NPI assigned

Apr 14, 2023

Organization subpart

No

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

Authorized official

Name

Daniel J. Seymour

Title

Commissioner

Phone

(716) 483-8505

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

Locations

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

{
    "created_epoch": "1681430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681430400000",
    "number": "1134815814",
    "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": "3536 FLUVANNA AVENUE EXT",
            "city": "FLUVANNA",
            "state": "NY",
            "postal_code": "147019728",
            "telephone_number": "716-483-8505",
            "fax_number": "716-483-0438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLUVANNA FIRE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-14",
        "last_updated": "2023-04-14",
        "certification_date": "2023-04-14",
        "status": "A",
        "authorized_official_last_name": "SEYMOUR",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "COMMISSIONER",
        "authorized_official_telephone_number": "716-483-8505"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Candace Marie Brown, PT
• Health Aquatic Wellness of Chautauqua Physical Therapy PLLC
• Adam Michael Pangborn, DPT
• Wayne E Quattrone II, PT, DPT
• Kimberly Nicole Ristau, PT, DPT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.