=====================================================
General NPI Number Information
=====================================================
NPI Number | 1982435111
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ELMA VOLUNTEER FIRE CO INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/09/2024
-----------------------------------------------------
Last Update Date | 08/09/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2945 BOWEN RD
-----------------------------------------------------
City | ELMA
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 14059-9420
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 716-652-1674
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 8610 MAIN ST
-----------------------------------------------------
City | WILLIAMSVILLE
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 14221-7455
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 716-204-3350
-----------------------------------------------------
Fax | 716-247-5274
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | HENRY J SZYMULA JR.
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 716-652-1674
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 3416L0300X
-----------------------------------------------------
Taxonomy Name | Land Ambulance
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------