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MAD RIVER VALLEY AMBULANCE SERVICE, INC.
NPI 1023189925
Ambulance in Waitsfield, VT

Active since November 13, 2006CLIA 47D2001144 · Waiver
4177 MAIN ST, WAITSFIELD, VT 05673(802) 496-8888(802) 329-2142 Get Directions Write a Review

NPPES record last updated: July 6, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mad River Valley Ambulance Service, Inc. NPPES

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

MAD RIVER VALLEY AMBULANCE SERVICE, INC. (NPI 1023189925) is a healthcare organization registered as an ambulance in Waitsfield, Vermont and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through December 13, 2027 and lists Robin M Kinsella, Claims Administrator, as its authorized official.

NPPES Registry Identity

NPI1023189925
Entity TypeOrganization
Primary Taxonomy341600000X
Legal Business NameMAD RIVER VALLEY AMBULANCE SERVICE, INC.
Location Address4177 MAIN STWaitsfield, VT 05673-6095
Mailing AddressPo Box 305Waitsfield, VT 05673-0305 · (802) 496-8888 · Fax (802) 329-2142
Phone(802) 496-8888
Fax(802) 329-2142
Organization SubpartNo
Authorized OfficialRobin M KinsellaClaims Administrator · (802) 496-8888
Enumeration DateNovember 13, 2006
Last NPPES UpdateJuly 6, 2009
✔ NPI 1023189925 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulanceTransportation Services
Taxonomy Code341600000X
License✔ Licensed in VT · VT6442
Definition

An emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane).

4177 MAIN ST, Waitsfield, VT 05673
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Other Identifiers 4

Medicaid0006442VT
OtherVT6442Blue Cross Blue Shield
Other801298Tufts
Medicare ID-Type UnspecifiedVT6442

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 47D2001144

Mad River Valley Ambulance Service · Waitsfield, VT
Active · expires Dec 13, 2027
CLIA Number47D2001144
Laboratory TypeAmbulance
Certificate Effective DateDecember 14, 2025
Certificate Expiration DateDecember 13, 2027
Laboratory DirectorMr. Brian P. Lavery
Laboratory Phone(802) 496-8888
Laboratory LocationMad River Valley Ambulance Service4177 Main Street, Waitsfield, VT 05673
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 4

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.
3,708 services109 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.
84 services70 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.
45 services35 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.
12 services12 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 Mad River Valley Ambulance Service, Inc.'s NPI number?

The NPI number for Mad River Valley Ambulance Service, Inc. is 1023189925. It was assigned to this organization in the NPPES registry on November 13, 2006.

Where is Mad River Valley Ambulance Service, Inc. located?

Mad River Valley Ambulance Service, Inc. is located at 4177 Main St, Waitsfield, VT 05673. The listed phone number is (802) 496-8888.

What is Mad River Valley Ambulance Service, Inc.'s specialty?

The primary specialty registered for this NPI is Ambulance with taxonomy code 341600000X.

Does Mad River Valley Ambulance Service, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 47D2001144) is associated with this NPI, valid through December 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mad River Valley Ambulance Service, Inc. was last updated on July 6, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.