{"npi":"1205995263","type":"NPI-2","status":"active","name":{"display":"Lackawaxen Township Volunteer Ambulance Service","other":[],"organization_name":"LACKAWAXEN TOWNSHIP VOLUNTEER AMBULANCE SERVICE","authorised_official":"Rich Ulrich"},"specialty":{"primary_taxonomy":"3416L0300X","primary_taxonomy_description":"Land Ambulance","slug":"land-ambulance","schema_org_specialty":null,"all":[{"code":"341600000X","description":"Ambulance","primary":false,"state":null,"license":null},{"code":"3416L0300X","description":"Land Ambulance","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"1611 ROUTE 590","city":"HAWLEY","state":"PA","postal_code":"184287794","country_code":"US","phone":"5706854022"},{"purpose":"MAILING","street_1":"PO BOX 207","city":"ALLENTOWN","state":"PA","postal_code":"181050207","country_code":"US","phone":"4846619661","fax":"4846642015"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"0013026140006","state":"PA","issuer":null},{"type_code":"01","label":"Other","value":"081118","state":"PA","issuer":"FIRST PRIORITY HEALTH"},{"type_code":"01","label":"Other","value":"612359700","state":"PA","issuer":"US DEPARTMENT OF LABOR"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20091231000222","type_code":"12-59","type_desc":"PART B SUPPLIER - AMBULANCE SERVICE SUPPLIER","state":"PA","pac_id":"1658412424"}]},"enumeration_date":"2006-12-06","last_updated":"2025-10-16","_meta":{"source":"NPPES","snapshot_date":"2025-10-16","doc_url":"https://findmynpi.com/api"}}