Organization Active NPI

Citizens Hose Company of Shortsville Ny Inc

  • Land Ambulance
  • Shortsville, NY
National Provider Identifier
1275509192
Registry record updated Jan 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
3410 Issued in NY
Legal business name
CITIZENS HOSE COMPANY OF SHORTSVILLE NY INC
Practice address
5 Sheldon St
Shortsville, NY 14548-9301
Phone
(585) 200-1949
NPI assigned
Feb 28, 2006
Last updated
Jan 15, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2026

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

Authorized official

Name
William Plaisted
Title
EMS Chief
Phone
(585) 289-4485

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 3410 NY Primary

Addresses

Primary practice location

5 Sheldon St
Shortsville, NY 14548-9301

Mailing address

PO Box 535
Baldwinsville, NY 13027-0535
Phone (315) 635-1789

Other identifiers 3

IdentifierTypeStateIssuer
PCITIZENSHOOtherNYMONROE PLAN
02161282MedicaidNY
590014371OtherNYRAIL ROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080509000065 NY Part B Supplier - Ambulance Service Supplier 7113006628 Practice locations: Shortsville, NY

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2302599Citizens Hose Company of Shortsville Inc5 Sheldon St, Shortsville, NY 14548Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

Locations

5 Sheldon St
Shortsville, NY 14548
Phone (585) 289-4485

NPI Registry JSON

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

{
    "created_epoch": "1141084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768435200000",
    "number": "1275509192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 535",
            "city": "BALDWINSVILLE",
            "state": "NY",
            "postal_code": "130270535",
            "telephone_number": "315-635-1789",
            "fax_number": "315-635-3289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 SHELDON ST",
            "city": "SHORTSVILLE",
            "state": "NY",
            "postal_code": "145489301",
            "telephone_number": "585-200-1949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITIZENS HOSE COMPANY OF SHORTSVILLE NY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-28",
        "last_updated": "2026-01-15",
        "certification_date": "2026-01-15",
        "status": "A",
        "authorized_official_last_name": "PLAISTED",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "EMS CHIEF",
        "authorized_official_telephone_number": "585-289-4485"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NY",
            "license": "3410",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MONROE PLAN",
            "identifier": "PCITIZENSHO",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02161282",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "590014371",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shortsville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2026; 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.