Healthcare Provider Details

I. General information

NPI: 1376871731
Provider Name (Legal Business Name): ORCHARD PARK FIRE DISTRICT - EMS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/24/2009
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4222 S TAYLOR RD
ORCHARD PARK NY
14127-2246
US

IV. Provider business mailing address

PO BOX 535
BALDWINSVILLE NY
13027-0535
US

V. Phone/Fax

Practice location:
  • Phone: 716-662-2619
  • Fax:
Mailing address:
  • Phone: 800-927-5845
  • Fax: 315-635-3289

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number12973
License Number StateNY

VIII. Authorized Official

Name: ERIC KNAVEL
Title or Position: COMPLIANCE MANAGER
Credential:
Phone: 716-662-2619