Lackawaxen Township Volunteer Ambulance Service

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

LACKAWAXEN TOWNSHIP VOLUNTEER AMBULANCE SERVICE

Practice address

1611 Route 590
Hawley, PA 18428-7794

Phone

(570) 685-4022

NPI assigned

Dec 6, 2006

Organization subpart

No

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

Authorized official

Name

Rich Ulrich

Title

Officer/Captain

Phone

(272) 336-9850

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• Lackawaxen EMS Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

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

CLIA laboratory certificates

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760572800000",
    "number": "1205995263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 207",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181050207",
            "telephone_number": "484-661-9661",
            "fax_number": "484-664-2015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 ROUTE 590",
            "city": "HAWLEY",
            "state": "PA",
            "postal_code": "184287794",
            "telephone_number": "570-685-4022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LACKAWAXEN TOWNSHIP VOLUNTEER AMBULANCE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2025-10-16",
        "certification_date": "2025-10-16",
        "status": "A",
        "authorized_official_last_name": "ULRICH",
        "authorized_official_first_name": "RICH",
        "authorized_official_title_or_position": "OFFICER/CAPTAIN",
        "authorized_official_telephone_number": "272-336-9850"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0013026140006",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST PRIORITY HEALTH",
            "identifier": "081118",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPARTMENT OF LABOR",
            "identifier": "612359700",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lackawaxen EMS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lackawaxen EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• JS Medical PA PLLC
• Stanley Karoscik, RPH
• Kelly S. Magee, LPC, LLC
• Keystone Family Practice of Hawley
• Jennifer Kiesendahl
• Lake Region Functional Therapy LLC
• Lake Region Urgent Care, PC
• Lakeside Discount Pharmacy Inc.
• Lakota Healthcare
• Samantha Lecce

• Land Ambulance in Hawley, PA
• Providers in Hawley, PA by specialty
• Land Ambulance in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2025; 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.