Upper Mountain Fire Company of Lewiston New York Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

UPPER MOUNTAIN FIRE COMPANY OF LEWISTON NEW YORK INC

Practice address

839 Moyer Rd
Lewiston, NY 14092-2222

Phone

(716) 297-0330

Fax

(716) 297-1074

NPI assigned

Jul 18, 2024

Organization subpart

No

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

Authorized official

Name

John C. Malinchock

Title

President

Phone

(716) 297-0330

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

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

{
    "created_epoch": "1721260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726444800000",
    "number": "1326886862",
    "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": "839 MOYER RD",
            "city": "LEWISTON",
            "state": "NY",
            "postal_code": "140922222",
            "telephone_number": "716-297-0330",
            "fax_number": "716-297-1074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPPER MOUNTAIN FIRE COMPANY OF LEWISTON NEW YORK INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-18",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A",
        "authorized_official_last_name": "MALINCHOCK",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "716-297-0330"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Wesley Tinklepaugh II
• Suzanne Christine Trendell, SLP
• Lisa Ann Trimboli
• Bradley Thomas Truax, M.D.
• Tuscana Salon & Spa, LLC
• Tina Sue Vizzi, OPTICIAN
• Laura M Volz, PHARM. D
• Anna Vought, LPN
• Heather B Walton
• Stephen Edward Watkins, D.O.

• Land Ambulance in Lewiston, NY
• Providers in Lewiston, 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 Sep 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.