Provider Demographics
NPI:1730121203
Name:BUFFALO WHEELCHAIR, INC.
Entity Type:Organization
Organization Name:BUFFALO WHEELCHAIR, INC.
Other - Org Name:PROCAIR
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:CRANE
Authorized Official - Last Name:TRAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:716-675-6500
Mailing Address - Street 1:1900 RIDGE RD
Mailing Address - Street 2:SUITE #13
Mailing Address - City:WEST SENECA
Mailing Address - State:NY
Mailing Address - Zip Code:14224-3332
Mailing Address - Country:US
Mailing Address - Phone:716-675-6500
Mailing Address - Fax:716-675-6646
Practice Address - Street 1:507 MAIN ST
Practice Address - Street 2:
Practice Address - City:TOWANDA
Practice Address - State:PA
Practice Address - Zip Code:18848-1600
Practice Address - Country:US
Practice Address - Phone:570-265-7417
Practice Address - Fax:570-265-7473
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-11
Last Update Date:2008-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1115600008Medicare NSC