Organization Active NPI

Lancaster Volunteer Ambulance Corps, Inc.

  • Land Ambulance
  • Lancaster, NY
National Provider Identifier
1730179128
Registry record updated Nov 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
1484 Issued in NY
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

Updated by the provider on Nov 7, 2024

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1730179128OtherMEDICARE
590007543OtherRAILROAD MEDICARE
01377522MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060322000597 NY Part B Supplier - Ambulance Service Supplier 8224046966 Practice locations: Lancaster, 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
33D2281996Lancaster Volunteer Ambulance Corps40 Embry Place, Lancaster, NY 14086Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.