BLACKLICK VALLEY FOUNDATION AND AMBULANCE SERVICE INC
NPI 1033173828
Ambulance - Land Transport in Nanty Glo, PA

Q: What is Blacklick Valley Foundation And Ambulance Service Inc's specialty?

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

Active since April 17, 2006CLIA 39D0969203 · Waiver

1077 1ST ST, NANTY GLO, PA 15943(814) 749-7332(814) 749-7188 Get Directions Write a Review

NPPES record last updated: December 7, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Blacklick Valley Foundation And Ambulance Service Inc NPPES

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

BLACKLICK VALLEY FOUNDATION AND AMBULANCE SERVICE INC (NPI 1033173828) is a healthcare organization registered as a land transport in Nanty Glo, Pennsylvania and active in the NPI registry since April 2006. The organization holds a CLIA Waiver certificate valid through January 5, 2028 and lists Beverly Sherwood-burns, President, as its authorized official.

NPPES Registry Identity

NPI1033173828

Entity TypeOrganization

Primary Taxonomy3416L0300X

Legal Business NameBLACKLICK VALLEY FOUNDATION AND AMBULANCE SERVICE INC

Location Address1077 1ST STNanty Glo, PA 15943-1159

Mailing Address1077 1st StNanty Glo, PA 15943-1159 · (814) 749-7332 · Fax (814) 749-7188

Phone(814) 749-7332

Fax(814) 749-7188

Organization SubpartNo

Authorized OfficialBeverly Sherwood-burnsPresident · (814) 749-7332

Enumeration DateApril 17, 2006

Last NPPES UpdateDecember 7, 2012

✔ NPI 1033173828 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 · 03150

1077 1ST ST, Nanty Glo, PA 15943

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Other Identifiers 4

Medicaid0008930680001PA

Medicare ID-Type Unspecified281902PA

Other590001284PA · Railroad Medicare

Other281902PA · Pa Blue Shield

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

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 39D0969203

Blacklick Valley Found & Ambulance · Nanty Glo, PA

Active · expires Jan 5, 2028

CLIA Number39D0969203

Laboratory TypeRural Health Clinic

Certificate Effective DateJanuary 6, 2026

Certificate Expiration DateJanuary 5, 2028

Laboratory DirectorBeverly Sherwood-Burns

Laboratory Phone(814) 749-7332

Laboratory LocationBlacklick Valley Found & Ambulance1077 First Street, Nanty Glo, PA 15943

CLIA data matches this NPI record on: 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.

11,802 services248 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.

197 services192 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.

45 services39 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.

28 services26 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.

SUSAN MARIE BUCK

Emergency Medical Technician, Basic

1077 1ST ST
NANTY GLO, PA 15943

Cambria County (814) 749-7332

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 Blacklick Valley Foundation And Ambulance Service Inc's NPI number?

The NPI number for Blacklick Valley Foundation And Ambulance Service Inc is 1033173828. It was assigned to this organization in the NPPES registry on April 17, 2006.

Where is Blacklick Valley Foundation And Ambulance Service Inc located?

Blacklick Valley Foundation And Ambulance Service Inc is located at 1077 1st St, Nanty Glo, PA 15943. The listed phone number is (814) 749-7332.

What is Blacklick Valley Foundation And Ambulance Service Inc's specialty?

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

Does Blacklick Valley Foundation And Ambulance Service Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D0969203) is associated with this NPI, valid through January 5, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Blacklick Valley Foundation And Ambulance Service Inc accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Blacklick Valley Foundation And Ambulance Service Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Blacklick Valley Foundation And Ambulance Service Inc was last updated on December 7, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.