SUSQUEHANNA REGIONAL EMS
NPI 1013991389
Ambulance - Land Transport in Williamsport, PA

Q: What is Williamsport Area Ambulance Service Cooperative's specialty?

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

Active since December 01, 2005CLIA 39D2070335 · Waiver

777 RURAL AVE, WILLIAMSPORT, PA 17701(570) 321-2003(570) 321-2263 Get Directions Write a Review

NPPES record last updated: May 6, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Susquehanna Regional Ems NPPES

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

SUSQUEHANNA REGIONAL EMS (NPI 1013991389) is a healthcare organization registered as a land transport in Williamsport, Pennsylvania and active in the NPI registry since December 2005. The organization holds a CLIA Waiver certificate valid through December 12, 2027 and lists Charles Santangelo, Executive Vp/cfo, as its authorized official.

NPPES Registry Identity

NPI1013991389

Entity TypeOrganization

Primary Taxonomy3416L0300X

Legal Business NameWILLIAMSPORT AREA AMBULANCE SERVICE COOPERATIVE

Location Address777 RURAL AVEWilliamsport, PA 17701-3109

Mailing Address777 Rural AveWilliamsport, PA 17701-3109 · (570) 321-2003 · Fax (570) 321-2263

Phone(570) 321-2003

Fax(570) 321-2263

Organization SubpartNo

Authorized OfficialCharles SantangeloExecutive Vp/cfo · (570) 321-3171

Enumeration DateDecember 1, 2005

Last NPPES UpdateMay 6, 2008

✔ NPI 1013991389 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulance · Land TransportTransportation Services

Taxonomy Code3416L0300X

License✔ Licensed in PA · 05116

777 RURAL AVE, Williamsport, PA 17701

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Other Names 1

Doing Business AsSusquehanna Regional Ems

Other Identifiers 4

Medicare ID-Type Unspecified590003511Railroad Medicare

Other069905PA · First Priority Health Hmo

Medicare ID-Type Unspecified203135Medicare

Medicaid0010733240001PA

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Susquehanna Regional Ems is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

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

StatePennsylvaniaEnrollment IDO20080211000690Non-DME Part B · Ambulance Service SupplierDue dateNovember 30, 2026

Source: CMS Revalidation Due Date List, October 2026 release.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 39D2070335

Williamsport Area Ambulance Service Cooperative · Williamsport, PA

Active · expires Dec 12, 2027

CLIA Number39D2070335

Laboratory TypeAmbulance

Certificate Effective DateDecember 13, 2025

Certificate Expiration DateDecember 12, 2027

Laboratory DirectorDr. Jeffrey W. Myers

Laboratory Phone(570) 321-2398

Laboratory LocationWilliamsport Area Ambulance Service Cooperative700 High Street, Williamsport, PA 17701

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 6

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.

28,407 services1,260 patients

Ambulance service, basic life support, non-emergency transport, (bls) A0428

Basic Life Support (BLS) non-emergency ambulance service provides safe transportation for patients who don't need immediate medical attention. It includes monitoring vital signs, ensuring comfort, and administering basic care during transport.

967 services638 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.

639 services456 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.

324 services218 patients

Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) A0426

Ambulance Service, Advanced Life Support, Non-Emergency Transport, Level 1 (ALS 1) is a medical transportation service for patients who don't have an immediate life-threatening condition but require advanced medical monitoring or interventions during the journey.

236 services219 patients

Advanced life support, level 2 (als 2) A0433

Advanced Life Support Level 2 (ALS 2) is a medical service provided during emergencies. It involves advanced procedures like defibrillation, medication administration or endotracheal intubation by trained professionals to stabilize critical patients.

29 services29 patients

Other Providers at the Same Location NPPES 20

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

UPMC WILLIAMSPORT

Clinic/Center (Family Planning, Non-Surgical)