VILLAGE OF FAYETTEVILLE; NPI #1033107586

Contact Information

VILLAGE OF FAYETTEVILLE

425 E GENESSE ST
FAYETTEVILLE, NY 13066

Phone: 315-637-9864
Fax: 315-637-0106
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Ambulance	341600000X	59	Ambulance Service Provider

Indicates primary specialty

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NPI Profile & details for VILLAGE OF FAYETTEVILLE

NPI Number 1033107586

LBN Legal business name VILLAGE OF FAYETTEVILLE

Authorized official KAREN SHEPARDSON - (VILLAGE CLERK - TREASURER)

Entity Organization

Organization subpart ¹ No

Enumeration date 10/10/2005

Last updated 12/31/2025 - About 5 months ago

Identifiers

NY	Medicaid	02377402
NY	Other	P00048271	RAILROAD MEDICARE

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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VILLAGE OF FAYETTEVILLE

Contact Information

Specialty

Ambulance

NPI Profile & details for VILLAGE OF FAYETTEVILLE

Reviews for VILLAGE OF FAYETTEVILLE