Provider Demographics
NPI:1326886862
Name:UPPER MOUNTAIN FIRE COMPANY OF LEWISTON NEW YORK INC
Entity type:Organization
Organization Name:UPPER MOUNTAIN FIRE COMPANY OF LEWISTON NEW YORK INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:C
Authorized Official - Last Name:MALINCHOCK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:716-297-0330
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 1:839 MOYER RD
Practice Address - Street 2:
Practice Address - City:LEWISTON
Practice Address - State:NY
Practice Address - Zip Code:14092-2222
Practice Address - Country:US
Practice Address - Phone:716-297-0330
Practice Address - Fax:716-297-1074
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-18
Last Update Date:2024-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport