Active NPI
City of Lockport
- Land Ambulance
- Lockport, NY
National Provider Identifier
1114951316
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 10681
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8190167 | Other | NY | INDEPENDENT HEALTH |
| 00011172801 | Other | NY | UNIVERA HEALTHCARE |
| 5860141 | Other | NY | BC/BS OF WNY |
| 01341102 | Medicaid | NY |
Other names 1
- City of Lockport - Ambulance
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120109000161 | NY | Part B Supplier - Ambulance Service Supplier | 4183899404 | Practice locations: Lockport, NY |
National Provider Directory
National Provider DirectoryLocations
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.