Organization Active NPI

Wilson Fire Volunteer Co No 1 Inc

  • Land Ambulance
  • Wilson, NY
National Provider Identifier
1841024403
Registry record updated Aug 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
WILSON FIRE VOLUNTEER CO NO 1 INC
Practice address
250 Young St
Wilson, NY 14172-9699
Phone
(716) 751-6038
Fax
(716) 751-9012
NPI assigned
Aug 27, 2024
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Patrick A Daul
Title
President
Phone
(716) 751-6038

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
33D2315406Wilson Fire Volunteer Company No 1 Inc250 Young St, Wilson, NY 14172Certificate of waiverMar 26, 2027

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241205002892 NY Part B Supplier - Ambulance Service Supplier 4385170968 Practice locations: Wilson, NY

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

NPPES NPI Registry

Primary practice location

250 Young St
Wilson, NY 14172-9699

Mailing address

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 27, 2024.

{
    "created_epoch": "1724716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724716800000",
    "number": "1841024403",
    "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": "250 YOUNG ST",
            "city": "WILSON",
            "state": "NY",
            "postal_code": "141729699",
            "telephone_number": "716-751-6038",
            "fax_number": "716-751-9012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILSON FIRE VOLUNTEER CO NO 1 INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-27",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A",
        "authorized_official_last_name": "DAUL",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "716-751-6038"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilson, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.