Organization Active NPI

Town of Webster

  • Land Ambulance
  • Webster, NY
National Provider Identifier
1972053320
Registry record updated Apr 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
6260 Issued in NY
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

Updated by the provider on Apr 23, 2024

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
O20170125001795 NY Part B Supplier - Ambulance Service Supplier 0042592131 Practice locations: Penfield, NY

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.