KINGSTON FIREMENS COMMUNITY AMBULANCE
NPI 1043206014
Ambulance - Land Transport in Kingston, PA

Q: What is Kingston Firemens Community Ambulance's specialty?

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

Active since September 23, 2005CLIA 39D1069420 · Waiver

600 WYOMING AVE, KINGSTON, PA 18704(570) 714-0471 Get Directions Write a Review

NPPES record last updated: March 1, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Kingston Firemens Community Ambulance NPPES

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

KINGSTON FIREMENS COMMUNITY AMBULANCE (NPI 1043206014) is a healthcare organization registered as a land transport in Kingston, Pennsylvania and active in the NPI registry since September 2005. The organization holds a CLIA Waiver certificate valid through June 4, 2027 and lists Joe Grimes, Manager, as its authorized official.

NPPES Registry Identity

NPI1043206014

Entity TypeOrganization

Primary Taxonomy3416L0300X

Legal Business NameKINGSTON FIREMENS COMMUNITY AMBULANCE

Location Address600 WYOMING AVEKingston, PA 18704-3702

Mailing AddressPo Box 207Allentown, PA 18105-0207 · (484) 664-2007

Phone(570) 714-0471

Organization SubpartNo

Authorized OfficialJoe GrimesManager · (570) 714-0471

Enumeration DateSeptember 23, 2005

Last NPPES UpdateMarch 1, 2013

✔ NPI 1043206014 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 · 03370

600 WYOMING AVE, Kingston, PA 18704

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Other Identifiers 16

Other0110819Aetna Ushc Blue Bell Hmo

Other0X00PA7945Qualmed

Other214314Bcne Contract Claims

Other080783First Priority Health

Other0X00PA7945Phs Health Plan Commercia

Other117946600Acs Benefits

Other590011415United Hc Rr Medicare

Other117946600Acs Health Net Commercial

Other117946600Acs Health Net Hmo Mdc

Other20010720Amerihealth Mercy Hmo Dpa

Other214314Bc Bs Of Pa Blue Shield

Other0X00PA7945Phs Health Plan Hmo Mdc

Other214314Bc Of Ne Pa

Other892993Umwa Health & Retirement

Other0012514170001Pa Medicaid

Medicare PIN214314PA

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kingston Firemens Community Ambulance is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 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 IDO20050505000432Non-DME Part B · Ambulance Service SupplierDue dateDecember 31, 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 39D1069420

Kingston Firemans Community Amubulance Medic 13 · Kingston, PA

Active · expires Jun 4, 2027

CLIA Number39D1069420

Laboratory TypeAmbulance

Certificate Effective DateJune 5, 2025

Certificate Expiration DateJune 4, 2027

Laboratory DirectorRaymond Elick

Laboratory Phone(570) 287-0913

Laboratory LocationKingston Firemans Community Amubulance Medic 13600 Wyoming Ave, Kingston, PA 18704

CLIA data matches this NPI record on: Address

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.

3,642 services537 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.

485 services377 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.

335 services248 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 Kingston Firemens Community Ambulance's NPI number?

The NPI number for Kingston Firemens Community Ambulance is 1043206014. It was assigned to this organization in the NPPES registry on September 23, 2005.

Where is Kingston Firemens Community Ambulance located?

Kingston Firemens Community Ambulance is located at 600 Wyoming Ave, Kingston, PA 18704. The listed phone number is (570) 714-0471.

What is Kingston Firemens Community Ambulance's specialty?

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

Is Kingston Firemens Community Ambulance enrolled in Medicare?

Yes. Kingston Firemens Community Ambulance is registered in the Medicare PECOS enrollment system.

When is Kingston Firemens Community Ambulance's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Pennsylvania, Ambulance Service Supplier) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

Does Kingston Firemens Community Ambulance hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D1069420) is associated with this NPI, valid through June 4, 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 Kingston Firemens Community Ambulance was last updated on March 1, 2013. 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.