Lenape Volunteer Ambulance Corps Inc
Organization Active NPI Ambulance · Unionville, NY
NPI 1043285133 · NPPES record last updated Apr 12, 2023
Key facts
- NPI
- 1043285133
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ambulance 341600000X
- License
- 09634 (NY)
- Legal business name
- LENAPE VOLUNTEER AMBULANCE CORPS INC
- Practice address
- 129 State RT 284
Unionville, NY 10988 - Phone
- (845) 726-3298
- NPI assigned
- Feb 22, 2006
- Organization subpart
- No
Authorized official
- Name
- Theresa A Reynolds
- Title
- Treasurer
- Phone
- (845) 726-4112
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D2208102 | Lenape Volunteer Ambulance Corp | Certificate of waiver | Mar 26, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060322000215 | NY | Part B Supplier - Ambulance Service Supplier | 4789692484 | Practice locations: Unionville, NY |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 09634 | NY | Yes |
Addresses
Primary practice location
129 State RT 284
Unionville, NY 10988
Mailing address
PO Box 535
Baldwinsville, NY 13027-0535
Phone (315) 635-1789
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01643521 | Medicaid | NY | |
| 987023 | Other | MVP | |
| 9642493 | Other | GHI |
Other providers in Unionville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 12, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.