Active NPI
South Wilson Volunteer Fire Company, Inc.
- Ambulance
- Wilson, NY
National Provider Identifier
1902644289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- Legal business name
- SOUTH WILSON VOLUNTEER FIRE COMPANY, INC.
- Practice address
- 4194 Chestnut Rd
Wilson, NY 14172-9617 - Phone
- (716) 751-6079
- Fax
- (716) 751-0052
- NPI assigned
- Jul 19, 2024
- Last updated
- Jan 10, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John M Thilk
- Title
- Chief
- Phone
- (716) 751-6079
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | NU | Primary |
Addresses
Primary practice location
4194 Chestnut Rd
Wilson, NY 14172-9617
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250505002092 | NY | Part B Supplier - Ambulance Service Supplier | 1052838968 | Practice locations: Wilson, NY |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D2140276 | South Wilson Volunteer Fire Company Inc | Certificate of waiver | Mar 26, 2027 |
National Provider Directory
National Provider DirectoryLocations
4194 Chestnut Rd
Wilson, NY 14172
Phone (716) 751-6079
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721347200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1736467200000",
"number": "1902644289",
"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": "4194 CHESTNUT RD",
"city": "WILSON",
"state": "NY",
"postal_code": "141729617",
"telephone_number": "716-751-6079",
"fax_number": "716-751-0052"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTH WILSON VOLUNTEER FIRE COMPANY, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2024-07-19",
"last_updated": "2025-01-10",
"certification_date": "2025-01-10",
"status": "A",
"authorized_official_last_name": "THILK",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "CHIEF",
"authorized_official_telephone_number": "716-751-6079"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wilson, NY
- Karen A. Libordi, R.N.
- McBride Cognitive Improvement
- Ryan Douglas Monteleone, DC
- Renee L Nye, RN
- Barbara Jean Skavinsky, L.M.T.
- Heather J. Thompson, RN
- Timothy R Woodean Chiropractic and Massage Therapy PLLC (Nautical Alignment Chiropractic and Massage)
- Crystal E Wasik, LPN
- Wild Mind Therapy PLLC
- Wilson Central School District
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2025; 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.