Healthcare Provider Details

I. General information

NPI: 1336827963
Provider Name (Legal Business Name): WESTVILLE VOLUNTEER FIREMANS ASSOCIATION INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/05/2023
Last Update Date: 02/28/2024
Certification Date: 02/28/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3891 STATE ROUTE 37
CONSTABLE NY
12926-1914
US

IV. Provider business mailing address

3891 STATE ROUTE 37
CONSTABLE NY
12926-1914
US

V. Phone/Fax

Practice location:
  • Phone: 518-358-4450
  • Fax: 518-358-4450
Mailing address:
  • Phone: 518-358-4450
  • Fax: 518-358-4450

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number
License Number State

VIII. Authorized Official

Name: TODD MICHAEL COLLINS
Title or Position: EMS CAPT.
Credential:
Phone: 518-353-1782