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LAKESHORE VOLUNTEER AMBULANCE INC
NPI 1083604540
Ambulance - Land Transport in Wolcott, NY

Active since October 26, 2005
5841 NEW HARTFORD ST, WOLCOTT, NY 14590(315) 754-6489(315) 754-8453 Get Directions Write a Review

NPPES record last updated: June 18, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Lakeshore Volunteer Ambulance Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAKESHORE VOLUNTEER AMBULANCE INC (NPI 1083604540) is a healthcare organization registered as a land transport in Wolcott, New York and active in the NPI registry since October 2005. The organization lists George Lockwood, Director Of Operations, as its authorized official.

NPPES Registry Identity

NPI1083604540
Entity TypeOrganization
Primary Taxonomy3416L0300X
Legal Business NameLAKESHORE VOLUNTEER AMBULANCE INC
Location Address5841 NEW HARTFORD STWolcott, NY 14590-1136
Mailing Address8020 E Main RdLe Roy, NY 14482-9704 · (585) 768-2192 · Fax (585) 768-7323
Phone(315) 754-6489
Fax(315) 754-8453
Organization SubpartNo
Authorized OfficialGeorge LockwoodDirector Of Operations · (315) 594-9393
Enumeration DateOctober 26, 2005
Last NPPES UpdateJune 18, 2014
✔ NPI 1083604540 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulance · Land TransportTransportation Services
Taxonomy Code3416L0300X
License✔ Licensed in NY · 1069
5841 NEW HARTFORD ST, Wolcott, NY 14590
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Other Identifiers 3

Medicaid02773224NY
Medicare PINBA0830NY
Other590012016Railroad Medicare

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lakeshore Volunteer Ambulance Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNew YorkEnrollment IDO20060310000547Non-DME Part B · Ambulance Service SupplierDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Ground mileage, per statute mile A0425
Ground mileage per statute mile is a method of calculating the cost of transportation for medical services. It is used when a patient needs to be transported by ground ambulance. The cost is calculated per mile, from the pick-up location to the medical facility.
2,872 services59 patients
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) A0427
Ambulance Service, Advanced Life Support, Level 1 (ALS 1 - Emergency) is a critical care transport service for emergency situations. It includes a team of healthcare professionals equipped with advanced skills and tools to manage life-threatening conditions during transport.
49 services40 patients
Ambulance service, basic life support, emergency transport (bls-emergency) A0429
Ambulance service with basic life support (BLS-Emergency) provides immediate transport for patients in critical situations. Medical professionals on board deliver essential care like CPR, wound dressing, and oxygen therapy to stabilize patients during the journey.
43 services27 patients

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WOLCOTT AREA VOLUNTEER AMBULANCE CORP, INC.
Ambulance (Land Transport)
5841 NEW HARTFORD ST
WOLCOTT, NY 14590
Wayne County (585) 768-2192

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lakeshore Volunteer Ambulance Inc's NPI number?

The NPI number for Lakeshore Volunteer Ambulance Inc is 1083604540. It was assigned to this organization in the NPPES registry on October 26, 2005.

Where is Lakeshore Volunteer Ambulance Inc located?

Lakeshore Volunteer Ambulance Inc is located at 5841 New Hartford St, Wolcott, NY 14590. The listed phone number is (315) 754-6489.

What is Lakeshore Volunteer Ambulance Inc's specialty?

The primary specialty registered for this NPI is Ambulance, specializing in Land Transport, with taxonomy code 3416L0300X.

Is Lakeshore Volunteer Ambulance Inc enrolled in Medicare?

Yes. Lakeshore Volunteer Ambulance Inc is registered in the Medicare PECOS enrollment system.

When is Lakeshore Volunteer Ambulance Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New York, Ambulance Service Supplier) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

When was this NPI record last updated?

The NPPES record for Lakeshore Volunteer Ambulance Inc was last updated on June 18, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.