Healthcare Provider Details

I. General information

NPI: 1467101402
Provider Name (Legal Business Name): WYOMING COUNTY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/18/2022
Last Update Date: 07/05/2023
Certification Date: 07/05/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

143 N MAIN STREET
WARSAW NY
14569
US

IV. Provider business mailing address

8610 MAIN STREET
WILLIAMSVILLE NY
14221-7455
US

V. Phone/Fax

Practice location:
  • Phone: 585-786-8867
  • Fax: 585-786-8865
Mailing address:
  • Phone: 716-204-3350
  • Fax: 716-247-5274

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code341600000X
TaxonomyAmbulance
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State

VIII. Authorized Official

Name: BRIAN C MEYERS
Title or Position: DIRECTOR OF FIRE AND EMERGENCY MANA
Credential:
Phone: 585-786-8867