PINE GROVE COMMUNITY AMBULANCE ASSOCIATION
NPI 1023147931
Ambulance - Land Transport in Pine Grove, PA

Q: What is Pine Grove Community Ambulance Association's specialty?

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

Active since March 05, 2007CLIA 39D2144419 · Waiver

46 SPRUCE STREET, PINE GROVE, PA 17963(570) 345-3004(570) 345-6621 Get Directions Write a Review

NPPES record last updated: July 2, 2010. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Pine Grove Community Ambulance Association NPPES

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

PINE GROVE COMMUNITY AMBULANCE ASSOCIATION (NPI 1023147931) is a healthcare organization registered as a land transport in Pine Grove, Pennsylvania and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through February 15, 2028 and lists David T. Lukasewicz, President, as its authorized official.

NPPES Registry Identity

NPI1023147931

Entity TypeOrganization

Primary Taxonomy3416L0300X

Legal Business NamePINE GROVE COMMUNITY AMBULANCE ASSOCIATION

Location Address46 SPRUCE STREETPine Grove, PA 17963-1715

Mailing AddressPo Box 539Mechanicsburg, PA 17055-0539 · (717) 728-1690 · Fax (717) 728-1690

Phone(570) 345-3004

Fax(570) 345-6621

Organization SubpartNo

Authorized OfficialDavid T. LukasewiczPresident · (570) 617-4002

Enumeration DateMarch 5, 2007

Last NPPES UpdateJuly 2, 2010

✔ NPI 1023147931 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulance · Land TransportTransportation Services

Taxonomy Code3416L0300X

46 SPRUCE STREET, Pine Grove, PA 17963

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Other Identifiers 2

Medicare ID-Type Unspecified283117PA

Medicaid0007646410002PA

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 39D2144419

Pine Grove Community Ambulance Association · Pine Grove, PA

Active · expires Feb 15, 2028

CLIA Number39D2144419

Laboratory TypeAmbulance

Certificate Effective DateFebruary 16, 2026

Certificate Expiration DateFebruary 15, 2028

Laboratory DirectorDavid T. Lukasewicz

Laboratory Phone(570) 617-4002

Laboratory LocationPine Grove Community Ambulance Association46 Spruce Street, Pine Grove, PA 17963

CLIA data matches this NPI record on: Address Name Phone

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

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.

5,548 services172 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.

201 services128 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.

83 services70 patients

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 Pine Grove Community Ambulance Association's NPI number?

The NPI number for Pine Grove Community Ambulance Association is 1023147931. It was assigned to this organization in the NPPES registry on March 5, 2007.

Where is Pine Grove Community Ambulance Association located?

Pine Grove Community Ambulance Association is located at 46 Spruce Street, Pine Grove, PA 17963. The listed phone number is (570) 345-3004.

What is Pine Grove Community Ambulance Association's specialty?

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

Does Pine Grove Community Ambulance Association hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D2144419) is associated with this NPI, valid through February 15, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Pine Grove Community Ambulance Association was last updated on July 2, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.