1164149316 NPI number — MACHIAS VOLUNTEER FIRE DEPARTMENT

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1164149316 NPI number — MACHIAS VOLUNTEER FIRE DEPARTMENT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MACHIAS VOLUNTEER FIRE DEPARTMENT
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1164149316
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/27/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
9548 MAIN ST /PO BOX 315
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MECHIAS
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
14101
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
716-353-4611
Provider Business Mailing Address Fax Number:
716-353-8793

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
9548 MAIN ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MECHIAS
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
14101
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
716-353-4611
Provider Business Practice Location Address Fax Number:
716-353-8793
Provider Enumeration Date:
10/27/2022

Additional Information

Authorized Official

Authorized Official Last Name:
SCRIVANI
Authorized Official First Name:
NATHAN
Authorized Official Middle Name:
DOUGLAS
Authorized Official Title or Position:
EMT/EMS CAPTAIN
Authorized Official Telephone Number:
716-796-7290

Provider Taxonomy Codes

  • Taxonomy code: 341600000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 3416L0300X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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