Active NPI
Town of Webster
- Land Ambulance
- Webster, NY
National Provider Identifier
1972053320
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 6260
- Legal business name
- TOWN OF WEBSTER
- Practice address
- 1030 Jackson Road
Webster, NY 14580-8705 - Phone
- (585) 787-9060
- NPI assigned
- Oct 10, 2016
- 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
- Thomas J Flaherty
- Title
- Town Supervisor
- Phone
- (585) 872-7070
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 6260 | NY | Primary |
Addresses
Primary practice location
1030 Jackson Road
Webster, NY 14580-8705
Mailing address
8610 Main Street
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 |
|---|---|---|---|---|
| O20170125001795 | NY | Part B Supplier - Ambulance Service Supplier | 0042592131 | Practice locations: Penfield, NY |
National Provider Directory
National Provider DirectoryLocations
1585 Jackson Rd
Penfield, NY 14526
Phone (585) 787-9060
780 Ridge Rd
Webster, NY 14580
Phone (585) 563-1112
1000 Ridge Rd
Webster, NY 14580
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476057600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1713830400000",
"number": "1972053320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8610 MAIN STREET",
"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": "1030 JACKSON ROAD",
"city": "WEBSTER",
"state": "NY",
"postal_code": "145808705",
"telephone_number": "585-787-9060"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOWN OF WEBSTER",
"organizational_subpart": "NO",
"enumeration_date": "2016-10-10",
"last_updated": "2024-04-23",
"certification_date": "2023-02-08",
"status": "A",
"authorized_official_last_name": "FLAHERTY",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "TOWN SUPERVISOR",
"authorized_official_telephone_number": "585-872-7070"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "NY",
"license": "6260",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Webster, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.