Shawnee Volunteer Fire Co Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

SHAWNEE VOLUNTEER FIRE CO INC

Practice address

3747 Lockport Rd
Sanborn, NY 14132-9456

Phone

(716) 731-3666

NPI assigned

Apr 11, 2024

Last updated

Apr 11, 2024By 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

Scott Menard

Title

President

Phone

(716) 731-3666

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1712793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712793600000",
    "number": "1760235345",
    "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": "3747 LOCKPORT RD",
            "city": "SANBORN",
            "state": "NY",
            "postal_code": "141329456",
            "telephone_number": "716-731-3666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAWNEE VOLUNTEER FIRE CO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-11",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A",
        "authorized_official_last_name": "MENARD",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "716-731-3666"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katie Lynn Scirto, M.S., CCC-SLP
• Arael Jordyn Scott
• Marie Teresa Seelbach, COTA/L
• Jennifer R Seib, CASAC-T
• Matthew J Seib, AS
• Cassandra Lynn Sherwood, FNP-C
• Phillip John Sowicki, RN
• Malerie Marie Staskiewicz
• Sarah A Tabone, BA
• Pamela Tavenier, LPN

• Land Ambulance in Sanborn, NY
• Providers in Sanborn, 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 Apr 11, 2024; 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.