Frewsburg Fire District

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

FREWSBURG FIRE DISTRICT

Practice address

88 W Main St
Frewsburg, NY 14738-9631

Phone

(716) 569-3505

NPI assigned

Jan 20, 2023

Last updated

Aug 13, 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

Nicholas J Niles

Title

Chairman

Phone

(716) 569-3505

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

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

{
    "created_epoch": "1674172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723507200000",
    "number": "1801501150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3",
            "city": "FREWSBURG",
            "state": "NY",
            "postal_code": "147380003",
            "telephone_number": "716-569-3505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 W MAIN ST",
            "city": "FREWSBURG",
            "state": "NY",
            "postal_code": "147389631",
            "telephone_number": "716-569-3505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREWSBURG FIRE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-20",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A",
        "authorized_official_last_name": "NILES",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "716-569-3505"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Carmen, RN
• Julie R Clark, MA CCC SLP L
• Kelli Marie Conklin
• Terra Lynne Devereaux, MS, CCC-SLP/L
• Frewsburg Central School District
• Frewsburg Rest Home, Inc.
• Roxy Dove Gray, RN
• Melinda Sue Lawson-Crabtree, PT
• Ryker Maddox
• Charlie Elizabeth Palmer, ATC

• Land Ambulance in Frewsburg, NY
• Providers in Frewsburg, 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 13, 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.