LAKESHORE VOLUNTEER AMBULANCE INC NPI 1083604540

NPI Information

  • NPI: 1083604540
  • Provider Name: LAKESHORE VOLUNTEER AMBULANCE INC
  • Classification: Ambulance - 3416L0300X
  • Specialization: Land Transport
  • Entity Type: Organization
  • Address: 5841 NEW HARTFORD ST
    WOLCOTT, NY
    ZIP 14590
  • Phone: (315) 754-6489

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NPI Details

LAKESHORE VOLUNTEER AMBULANCE INC is a land transport ambulance in Wolcott, NY. LAKESHORE VOLUNTEER AMBULANCE INC NPI is 1083604540. The provider is registered as an organization entity type.

The provider's business location address is:

5841 NEW HARTFORD ST
WOLCOTT, NY
ZIP 14590-136
Phone: (315) 754-6489
Fax: (315) 754-8453

The provider's authorized official is George Lockwood .
The authorized official title is Director Of Operations and has the following contact phone number (315) 594-9393.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Ground mileage, per statute mile (HCPCS:A0425)
  • Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) (HCPCS:A0427)
  • Ambulance service, basic life support, emergency transport (bls-emergency) (HCPCS:A0429)

The enumeration date for this NPI number is 10/26/2005 and was last updated on 6/18/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13416L0300XAmbulanceLand Transport1069NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
102773224MEDICAIDNEW YORK
2BA0830MEDICARE PINNEW YORK
3590012016OTHERRAILROAD MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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