Town of Carrollton Joint Fire District

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

TOWN OF CARROLLTON JOINT FIRE DISTRICT

Practice address

640 Main St
Limestone, NY 14753-9773

Phone

(716) 925-8842

NPI assigned

Oct 10, 2022

Last updated

Mar 20, 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

Donald L. Jacoby

Title

Commissioner

Phone

(716) 925-8842

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": "1665360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679270400000",
    "number": "1497470736",
    "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": "640 MAIN ST",
            "city": "LIMESTONE",
            "state": "NY",
            "postal_code": "147539773",
            "telephone_number": "716-925-8842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF CARROLLTON JOINT FIRE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-10",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-20",
        "status": "A",
        "authorized_official_last_name": "JACOBY",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "COMMISSIONER",
        "authorized_official_telephone_number": "716-925-8842"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Misty Renee Bowen Pashkow
• Lucinda Clancy
• Tyler John Middaugh, PHARM. D
• Jose Rafael Nunez Jr., LPN

• Land Ambulance in Limestone, NY
• Providers in Limestone, 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 20, 2023; 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.