Organization Active NPI

Volunteer Medical Service Corps of Lansdale

  • Land Ambulance
  • Lansdale, PA
National Provider Identifier
1194798082
Registry record updated May 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
46027 Issued in PA
Legal business name
VOLUNTEER MEDICAL SERVICE CORPS OF LANSDALE
Practice address
175 Medical Campus Dr
Lansdale, PA 19446-1260
Phone
(215) 855-3779
Fax
(215) 368-9512
NPI assigned
Feb 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2022

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

Authorized official

Name
Shane W Wheeler
Title
Chief
Phone
(215) 855-3779

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 46027 PA Primary

Addresses

Primary practice location

175 Medical Campus Dr
Lansdale, PA 19446-1260

Mailing address

175 Medical Campus Dr
Lansdale, PA 19446-1260
Phone (215) 855-3779

Other practice location 1

988 Allentown Rd
Lansdale, PA 19446
Phone (215) 855-3779

Other practice location 2

1001 Stump Rd
Montgomeryville, PA 18936-9605
Phone (215) 855-3779

Other identifiers 1

IdentifierTypeStateIssuer
0007173650003MedicaidPA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120306000657 PA Part B Supplier - Ambulance Service Supplier 2264691575 Practice locations: Lansdale, PA; Montgomeryville, PA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D1076046Volunteer Medical Service Corp175 Medical Campus Drive, Lansdale, PA 19446Certificate of waiverJul 4, 2026

National Provider Directory

National Provider Directory

Locations

175 Medical Campus Dr
Lansdale, PA 19446
Phone (215) 855-3779

1001 Stump Rd
Montgomeryville, PA 18936
Phone (215) 855-3779

NPI Registry JSON

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

{
    "created_epoch": "1139529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653523200000",
    "number": "1194798082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 MEDICAL CAMPUS DR",
            "city": "LANSDALE",
            "state": "PA",
            "postal_code": "194461260",
            "telephone_number": "215-855-3779",
            "fax_number": "215-368-9512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 MEDICAL CAMPUS DR",
            "city": "LANSDALE",
            "state": "PA",
            "postal_code": "194461260",
            "telephone_number": "215-855-3779",
            "fax_number": "215-368-9512"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "988 Allentown Rd",
            "address_purpose": "LOCATION",
            "city": "Lansdale",
            "state": "PA",
            "postal_code": "19446",
            "country_code": "US",
            "telephone_number": "215-855-3779",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1001 Stump Rd",
            "address_purpose": "LOCATION",
            "city": "Montgomeryville",
            "state": "PA",
            "postal_code": "189369605",
            "country_code": "US",
            "telephone_number": "215-855-3779",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VOLUNTEER MEDICAL SERVICE CORPS OF LANSDALE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-10",
        "last_updated": "2022-05-26",
        "certification_date": "2022-04-21",
        "status": "A",
        "authorized_official_last_name": "WHEELER",
        "authorized_official_first_name": "SHANE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "215-855-3779"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "46027",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0007173650003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansdale, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.