Organization Active NPI

Western Area Volunteer Emergency Service, Inc.

  • Ambulance
  • Camillus, NY
National Provider Identifier
1720018807
Registry record updated Dec 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
10268 Issued in NY
Legal business name
WESTERN AREA VOLUNTEER EMERGENCY SERVICE, INC.
Practice address
202 Bennett Rd
Camillus, NY 13031-1593
Phone
(315) 487-1212
Fax
(315) 487-4084
NPI assigned
Jul 4, 2006
Last updated
Dec 15, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2025

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

Authorized official

Name
Eric Kehoe
Title
Executive Director
Phone
(315) 487-1212

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 10268 NY Primary

Addresses

Primary practice location

202 Bennett Rd
Camillus, NY 13031-1593

Mailing address

PO Box 535
Baldwinsville, NY 13027-0535
Phone (315) 635-1789

Other identifiers 5

IdentifierTypeStateIssuer
01597855MedicaidNY
953060OtherMVP
9611713OtherGHI
355498600OtherUS DEPT OF LABOR OWCP
590009862OtherPALMETTO RR MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080527000169 NY Part B Supplier - Ambulance Service Supplier 7810066230 Practice locations: Camillus, NY

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
33D1098954Western Area Volunteer Emergency Services202 Bennett Road, Camillus, NY 13031Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory
Tax ID family
Tok Community Clinic Incorporated2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

202 Bennett Rd
Camillus, NY 13031
Phone (315) 487-1212

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765756800000",
    "number": "1720018807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 535",
            "city": "BALDWINSVILLE",
            "state": "NY",
            "postal_code": "130270535",
            "telephone_number": "315-635-1789",
            "fax_number": "315-635-3289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 BENNETT RD",
            "city": "CAMILLUS",
            "state": "NY",
            "postal_code": "130311593",
            "telephone_number": "315-487-1212",
            "fax_number": "315-487-4084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN AREA VOLUNTEER EMERGENCY SERVICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-15",
        "status": "A",
        "authorized_official_last_name": "KEHOE",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "315-487-1212"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NY",
            "license": "10268",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01597855",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "953060",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "9611713",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT OF LABOR OWCP",
            "identifier": "355498600",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO RR MEDICARE",
            "identifier": "590009862",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Camillus, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.