Active NPI
Lancaster Volunteer Ambulance Corps, Inc.
- Land Ambulance
- Lancaster, NY
National Provider Identifier
1730179128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 1484
- Legal business name
- LANCASTER VOLUNTEER AMBULANCE CORPS, INC.
- Practice address
- 40 Embry Place
Lancaster, NY 14086-1703 - Phone
- (716) 683-3282
- Fax
- (716) 683-5466
- NPI assigned
- Oct 26, 2005
- 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
- Mr. Chester Popoilkowski
- Title
- President
- Phone
- (716) 341-5372
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 1484 | NY | Primary |
Addresses
Primary practice location
40 Embry Place
Lancaster, NY 14086-1703
Mailing address
8610 Main Street
Williamsville, NY 14221-7455
Phone (716) 204-3350
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730179128 | Other | MEDICARE | |
| 590007543 | Other | RAILROAD MEDICARE | |
| 01377522 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060322000597 | NY | Part B Supplier - Ambulance Service Supplier | 8224046966 | Practice locations: Lancaster, NY |
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 |
|---|---|---|---|
| 33D2281996 | Lancaster Volunteer Ambulance Corps | Certificate of waiver | Mar 26, 2027 |
National Provider Directory
National Provider DirectoryLocations
40 Embry Pl
Lancaster, NY 14086
Phone (716) 683-3282
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130284800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1730937600000",
"number": "1730179128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8610 MAIN STREET",
"city": "WILLIAMSVILLE",
"state": "NY",
"postal_code": "142217455",
"telephone_number": "716-204-3350",
"fax_number": "716-247-5274"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 EMBRY PLACE",
"city": "LANCASTER",
"state": "NY",
"postal_code": "140861703",
"telephone_number": "716-683-3282",
"fax_number": "716-683-5466"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LANCASTER VOLUNTEER AMBULANCE CORPS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2005-10-26",
"last_updated": "2024-11-07",
"certification_date": "2022-11-15",
"status": "A",
"authorized_official_last_name": "POPOILKOWSKI",
"authorized_official_first_name": "CHESTER",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "716-341-5372",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "NY",
"license": "1484",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "1730179128",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "590007543",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01377522",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lancaster, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2024; 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.