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PORTVILLE FIRE DISTRICT
NPI 1124875497
Ambulance - Land Transport in Portville, NY

Active since May 03, 2024CLIA 33D2262962 · Waiver
15 S MAIN STREET, PORTVILLE, NY 14770(716) 933-6179 Get Directions Write a Review

NPPES record last updated: December 10, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 10, 2024, May 3, 2024 (2 updates tracked since 2024).

About Portville Fire District NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PORTVILLE FIRE DISTRICT (NPI 1124875497) is a healthcare organization registered as a land transport in Portville, New York and active in the NPI registry since May 2024. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Thomas R Latten, Board Chairman, as its authorized official.

NPPES Registry Identity

NPI1124875497
Entity TypeOrganization
Primary Taxonomy3416L0300X
Legal Business NamePORTVILLE FIRE DISTRICT
Location Address15 S MAIN STREETPortville, NY 14770
Mailing Address8610 Main StreetWilliamsville, NY 14221-7455 · (716) 204-3350 · Fax (716) 247-5274
Phone(716) 933-6179
Organization SubpartNo
Authorized OfficialThomas R LattenBoard Chairman · (716) 933-6179
Enumeration DateMay 3, 2024
Last NPPES UpdateDecember 10, 20242 updates tracked since enumeration
NPPES CertifiedDecember 10, 2024
✔ NPI 1124875497 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulance · Land TransportTransportation Services
Taxonomy Code3416L0300X
15 S MAIN STREET, Portville, NY 14770
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2262962

Portville Fire District No 1 · Portville, NY
Active · expires Mar 26, 2027
CLIA Number33D2262962
Laboratory TypeAmbulance
Certificate Effective DateJune 21, 2022
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Brian M. Walters
Laboratory Phone(716) 933-6179
Laboratory LocationPortville Fire District No 125 S Main St, Portville, NY 14770
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Portville Fire District's NPI number?

The NPI number for Portville Fire District is 1124875497. It was assigned to this organization in the NPPES registry on May 3, 2024.

Where is Portville Fire District located?

Portville Fire District is located at 15 S Main Street, Portville, NY 14770. The listed phone number is (716) 933-6179.

What is Portville Fire District's specialty?

The primary specialty registered for this NPI is Ambulance, specializing in Land Transport, with taxonomy code 3416L0300X.

Does Portville Fire District hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2262962) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Portville Fire District was last updated on December 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.