Organization Active NPI

Gainesville Fire Department Inc

  • Land Ambulance
  • Gainesville, NY
National Provider Identifier
1356079529
Registry record updated Oct 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
GAINESVILLE FIRE DEPARTMENT INC
Practice address
2 East Street
Gainesville, NY 14066
Phone
(585) 493-5956
NPI assigned
Aug 15, 2022
Last updated
Oct 3, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2022

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

Authorized official

Name
Mr. Dusty Deiter
Title
President
Phone
(585) 493-5956

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

2 East Street
Gainesville, NY 14066

Mailing address

PO Box 353
Gainesville, NY 14066-0353
Phone (585) 493-5956

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221021000075 NY Part B Supplier - Ambulance Service Supplier 9234505942 Practice locations: Gainesville, 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
33D2295581Gainesville Fire Department Inc2 East Street, Gainesville, NY 14066Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1660521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664755200000",
    "number": "1356079529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 353",
            "city": "GAINESVILLE",
            "state": "NY",
            "postal_code": "140660353",
            "telephone_number": "585-493-5956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 EAST STREET",
            "city": "GAINESVILLE",
            "state": "NY",
            "postal_code": "14066",
            "telephone_number": "585-493-5956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAINESVILLE FIRE DEPARTMENT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-15",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A",
        "authorized_official_last_name": "DEITER",
        "authorized_official_first_name": "DUSTY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "585-493-5956",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2022; 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.