Organization Active NPI

City of Lockport

  • Land Ambulance
  • Lockport, NY
National Provider Identifier
1114951316
Registry record updated Feb 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
10681 Issued in NY
Legal business name
CITY OF LOCKPORT
Practice address
1 Locks PLZ
Lockport, NY 14094-3640
Phone
(716) 439-6743
Fax
(716) 439-6612
NPI assigned
Jul 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sue Mawhiney
Title
Treasurer
Phone
(716) 439-6743

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 10681 NY Primary

Addresses

Primary practice location

1 Locks PLZ
Lockport, NY 14094-3640

Mailing address

1 Locks PLZ
Lockport, NY 14094-3640
Phone (716) 439-6611

Other identifiers 4

IdentifierTypeStateIssuer
8190167OtherNYINDEPENDENT HEALTH
00011172801OtherNYUNIVERA HEALTHCARE
5860141OtherNYBC/BS OF WNY
01341102MedicaidNY

Other names 1

  • City of Lockport - Ambulance Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120109000161 NY Part B Supplier - Ambulance Service Supplier 4183899404 Practice locations: Lockport, NY

National Provider Directory

National Provider Directory

Locations

1 Locks Plz
Lockport, NY 14094
Phone (716) 439-6611

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677024000000",
    "number": "1114951316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 LOCKS PLZ",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140943640",
            "telephone_number": "716-439-6611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 LOCKS PLZ",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140943640",
            "telephone_number": "716-439-6743",
            "fax_number": "716-439-6612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF LOCKPORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2023-02-22",
        "certification_date": "2023-02-22",
        "status": "A",
        "authorized_official_last_name": "MAWHINEY",
        "authorized_official_first_name": "SUE",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "716-439-6743"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NY",
            "license": "10681",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT HEALTH",
            "identifier": "8190167",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA HEALTHCARE",
            "identifier": "00011172801",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF WNY",
            "identifier": "5860141",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01341102",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "City of Lockport - Ambulance",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "City of Lockport - Ambulance",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lockport, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.