Lake Shore Volunteer Fire Company, Inc.

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

LAKE SHORE VOLUNTEER FIRE COMPANY, INC.

Practice address

4591 Lake Shore Rd
Hamburg, NY 14075-3105

Phone

(716) 627-3522

NPI assigned

Mar 8, 2023

Last updated

Mar 8, 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

Paul Wilson

Title

Chief

Phone

(716) 627-3522

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": "1678233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678233600000",
    "number": "1326748351",
    "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": "4591 LAKE SHORE RD",
            "city": "HAMBURG",
            "state": "NY",
            "postal_code": "140753105",
            "telephone_number": "716-627-3522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE SHORE VOLUNTEER FIRE COMPANY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-08",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-08",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "716-627-3522"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grayce Margaret Kurtz
• Kathryn Anne Kurtz, LCSW
• Ladonna Swan Inc (Ocular Restoration Clinic)
• Allison Laing, MSW
• Paige Aileen Laing, PA
• Lakeshore Dental Care, PLLC
• Lakeshore Primary Care Associates LLP
• Lakewood Health Care Center Inc.
• Lakewood Health Care CNTR Pharmacy
• Martin Charles Lambert, PT

• Land Ambulance in Hamburg, NY
• Providers in Hamburg, 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 Mar 8, 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.