Provider Demographics
NPI:1053018069
Name:TOWN OF FREMONT VOLUNTEER FIRE DEPARTMENT NO. 1, INC.
Entity type:Organization
Organization Name:TOWN OF FREMONT VOLUNTEER FIRE DEPARTMENT NO. 1, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CAPTAIN
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:607-324-4133
Mailing Address - Street 1:8610 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14221-7455
Mailing Address - Country:US
Mailing Address - Phone:716-204-3350
Mailing Address - Fax:716-247-5274
Practice Address - Street 1:RT 21 AND CREAM HILL ROAD
Practice Address - Street 2:
Practice Address - City:ARKPORT
Practice Address - State:NY
Practice Address - Zip Code:14807
Practice Address - Country:US
Practice Address - Phone:607-324-4133
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-09
Last Update Date:2023-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport