Healthcare Provider Details

I. General information

NPI: 1316658305
Provider Name (Legal Business Name): HOLLAND FIRE DISTRICT NO 1
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/09/2022
Last Update Date: 12/09/2022
Certification Date: 12/09/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

49 N MAIN ST
HOLLAND NY
14080-9509
US

IV. Provider business mailing address

8610 MAIN ST
WILLIAMSVILLE NY
14221-7455
US

V. Phone/Fax

Practice location:
  • Phone: 716-537-9568
  • Fax: 716-537-9513
Mailing address:
  • Phone: 716-204-3350
  • Fax: 716-247-5274

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State

VIII. Authorized Official

Name: CHARLES D. THUM
Title or Position: COMMISSIONER CHAIR
Credential:
Phone: 716-537-9568