Forestville Fire District

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

FORESTVILLE FIRE DISTRICT

Practice address

18 Chestnut St
Forestville, NY 14062-9602

Phone

(716) 965-4106

NPI assigned

Aug 15, 2022

Last updated

Aug 24, 2022By 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

Mark L. Woolley

Title

Chairman

Phone

(716) 965-4106

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": "1660521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661299200000",
    "number": "1346968526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8610 MAIN STREET",
            "address_2": "OPTIONAL",
            "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": "18 CHESTNUT ST",
            "city": "FORESTVILLE",
            "state": "NY",
            "postal_code": "140629602",
            "telephone_number": "716-965-4106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORESTVILLE FIRE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-15",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A",
        "authorized_official_last_name": "WOOLLEY",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "716-965-4106"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Harmony R Depan, RPAC
• Cathy R Emke
• Forestville Central School
• Forestville Chiropractic PC
• Forestville Chiropractic PC
• Sydney Frost, LPN
• Ronald D Greco, MD
• Heather Kaczor, CCC-SLP
• Kathryn A Lotz, COTA
• Ronald R. Johnson (Johnson LLHCSA Forestville)

• Land Ambulance in Forestville, NY
• Providers in Forestville, 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 Aug 24, 2022; 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.