NPIMap

Organization Active NPI

Wyoming County

  • Land Ambulance
  • Warsaw, NY
National Provider Identifier
1467101402
Registry record updated Jul 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
WYOMING COUNTY
Practice address
143 N Main Street
Warsaw, NY 14569
Phone
(585) 786-8867
Fax
(585) 786-8865
NPI assigned
Mar 18, 2022
Last updated
Jul 5, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2023

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

Authorized official

Name
Brian C Meyers
Title
Director of Fire and Emergency Mana
Phone
(585) 786-8867

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

143 N Main Street
Warsaw, NY 14569

Mailing address

8610 Main Street
Williamsville, NY 14221-7455
Phone (716) 204-3350

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230808002684 NY Part B Supplier - Ambulance Service Supplier 9335118967 Practice locations: Rochester, NY

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Wyoming County County of Wyoming15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

Organizations that report the same tax identification number in the National Provider Directory.

View all 14

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

Locations

1669 Lyell Ave
Rochester, NY 14606
Phone (585) 327-7601

143 N Main St
Warsaw, NY 14569
Phone (585) 786-8867

151 N Main St
Warsaw, NY 14569

Ownership & related parties

All facility ownership & control disclosures 7

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Wyoming CountyWarsaw, NY, CCN 331323 Hospital Operational/Managerial Control May 31, 2022
Wyoming CountyWarsaw, NY, CCN 33Z323 Hospital Operational/Managerial Control May 31, 2022
Wyoming CountyWarsaw, NY, CCN 33M323 Hospital Operational/Managerial Control May 31, 2022
Med TempsWarsaw, NY, CCN 335034 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF		 Jan 1, 1967
Jan 1, 1967
Healthcare Solutions Wny , LLCWarsaw, NY, CCN 333413 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Nov 4, 2005
Wyoming CountyPerry, NY, CCN 338502 Rural health clinic Operational/Managerial Control (100%) Jan 1, 2020
Wyoming County Family Medicine ArcadeArcade, NY, CCN 333422 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2020

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • Wyoming County

    dba Wyoming County Community Hospital SNF

    • Skilled Nursing Facility
    • Warsaw, NY
    • NPI 1194702506

    5% Or Greater Direct Ownership Interest, Adp of the SNF

    CMS ownership
  • Wyoming County
    • Rural Acute Care Hospital
    • Warsaw, NY
    • NPI 1316924913

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership

NPI Registry JSON

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

{
    "created_epoch": "1647561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688515200000",
    "number": "1467101402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8610 MAIN STREET",
            "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": "143 N MAIN STREET",
            "city": "WARSAW",
            "state": "NY",
            "postal_code": "14569",
            "telephone_number": "585-786-8867",
            "fax_number": "585-786-8865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYOMING COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-18",
        "last_updated": "2023-07-05",
        "certification_date": "2023-07-05",
        "status": "A",
        "authorized_official_last_name": "MEYERS",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DIRECTOR OF FIRE AND EMERGENCY MANA",
        "authorized_official_telephone_number": "585-786-8867"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warsaw, NY

Sources for this page

Verify at the official NPI Registry.