Organization Active NPI

South Lockport Fire Company, Inc.

  • Land Ambulance
  • Lockport, NY
National Provider Identifier
1841060365
Registry record updated Jan 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
SOUTH LOCKPORT FIRE COMPANY, INC.
Practice address
5666 S Transit Rd
Lockport, NY 14094-5843
Phone
(716) 434-4626
Fax
(716) 438-5042
NPI assigned
Jan 5, 2024
Last updated
Jan 5, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2024

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

Authorized official

Name
Darla Weber
Title
President
Phone
(716) 434-4626

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X NU Primary

Addresses

Primary practice location

5666 S Transit Rd
Lockport, NY 14094-5843

Mailing address

8610 Main St
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
O20240715001559 NY Part B Supplier - Ambulance Service Supplier 4688119662 Practice locations: Lockport, NY

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
33D2189910South Lockport Fire Co Inc5666 S Transit Rd, Lockport, NY 14094Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

Locations

5666 S Transit Rd
Lockport, NY 14094
Phone (716) 434-4626

NPI Registry JSON

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

{
    "created_epoch": "1704412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704412800000",
    "number": "1841060365",
    "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": "5666 S TRANSIT RD",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140945843",
            "telephone_number": "716-434-4626",
            "fax_number": "716-438-5042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH LOCKPORT FIRE COMPANY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-05",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A",
        "authorized_official_last_name": "WEBER",
        "authorized_official_first_name": "DARLA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "716-434-4626"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lockport, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.