Active NPI
Citizens Hose Company of Shortsville Ny Inc
- Land Ambulance
- Shortsville, NY
National Provider Identifier
1275509192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 3410
- 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, 2026
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PCITIZENSHO | Other | NY | MONROE PLAN |
| 02161282 | Medicaid | NY | |
| 590014371 | Other | NY | RAIL ROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080509000065 | NY | Part B Supplier - Ambulance Service Supplier | 7113006628 | Practice locations: Shortsville, NY |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D2302599 | Citizens Hose Company of Shortsville Inc | Certificate of waiver | Mar 26, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.