Provider Demographics
NPI:1164149316
Name:MACHIAS VOLUNTEER FIRE DEPARTMENT
Entity Type:Organization
Organization Name:MACHIAS VOLUNTEER FIRE DEPARTMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EMT/EMS CAPTAIN
Authorized Official - Prefix:MR
Authorized Official - First Name:NATHAN
Authorized Official - Middle Name:DOUGLAS
Authorized Official - Last Name:SCRIVANI
Authorized Official - Suffix:
Authorized Official - Credentials:EMS CAPTAIN
Authorized Official - Phone:716-796-7290
Mailing Address - Street 1:9548 MAIN ST /PO BOX 315
Mailing Address - Street 2:
Mailing Address - City:MECHIAS
Mailing Address - State:NY
Mailing Address - Zip Code:14101
Mailing Address - Country:US
Mailing Address - Phone:716-353-4611
Mailing Address - Fax:716-353-8793
Practice Address - Street 1:9548 MAIN ST
Practice Address - Street 2:
Practice Address - City:MECHIAS
Practice Address - State:NY
Practice Address - Zip Code:14101
Practice Address - Country:US
Practice Address - Phone:716-353-4611
Practice Address - Fax:716-353-8793
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-27
Last Update Date:2022-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No341600000XTransportation ServicesAmbulance