Active NPI
Volunteer Medical Service Corps of Lansdale
- Land Ambulance
- Lansdale, PA
National Provider Identifier
1194798082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 46027
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0007173650003 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120306000657 | PA | Part B Supplier - Ambulance Service Supplier | 2264691575 | Practice locations: Lansdale, PA; Montgomeryville, PA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 39D1076046 | Volunteer Medical Service Corp | Certificate of waiver | Jul 4, 2026 |
National Provider Directory
National Provider DirectoryLocations
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.