Provider Demographics
NPI:1902644289
Name:SOUTH WILSON VOLUNTEER FIRE COMPANY, INC.
Entity type:Organization
Organization Name:SOUTH WILSON VOLUNTEER FIRE COMPANY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:M
Authorized Official - Last Name:THILK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:716-751-6079
Mailing Address - Street 1:8610 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14221-7455
Mailing Address - Country:US
Mailing Address - Phone:716-204-3350
Mailing Address - Fax:716-247-5274
Practice Address - Street 1:4194 CHESTNUT RD
Practice Address - Street 2:
Practice Address - City:WILSON
Practice Address - State:NY
Practice Address - Zip Code:14172-9617
Practice Address - Country:US
Practice Address - Phone:716-751-6079
Practice Address - Fax:716-751-0052
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-19
Last Update Date:2025-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance