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AMERICAN LEGION AMBULANCE FUND INC
NPI 1043208416
Ambulance in Moosup, CT

Active since October 11, 2005CLIA 07D2113888 · Waiver
298 MAIN ST, MOOSUP, CT 06354(860) 564-7410(860) 564-3386 Get Directions Write a Review

NPPES record last updated: September 4, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About American Legion Ambulance Fund Inc NPPES

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

AMERICAN LEGION AMBULANCE FUND INC (NPI 1043208416) is a healthcare organization registered as an ambulance in Moosup, Connecticut and active in the NPI registry since October 2005. The organization holds a CLIA Waiver certificate valid through June 1, 2028 and lists Mary T Gentile, Authorized Agent, as its authorized official.

NPPES Registry Identity

NPI1043208416
Entity TypeOrganization
Primary Taxonomy341600000X
Legal Business NameAMERICAN LEGION AMBULANCE FUND INC
Location Address298 MAIN STMoosup, CT 06354-1016
Mailing AddressPo Box 290184Wethersfield, CT 06129-0184 · (800) 452-8191 · Fax (860) 563-3403
Phone(860) 564-7410
Fax(860) 564-3386
Organization SubpartNo
Authorized OfficialMary T GentileAuthorized Agent · (800) 452-8191
Enumeration DateOctober 11, 2005
Last NPPES UpdateSeptember 4, 2008
✔ NPI 1043208416 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulanceTransportation Services
Taxonomy Code341600000X
License✔ Licensed in CT · C109B1
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).
298 MAIN ST, Moosup, CT 06354
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Other Identifiers 3

Other590009612Railroad Medicare
Medicaid004142733CT
Medicare PIN590000152CT

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

American Legion Ambulance Fund Inc 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
StateConnecticutEnrollment IDO20100914000658Non-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 07D2113888

American Legion Ambulance Fund, Inc · Plainfield, CT
Active · expires Jun 1, 2028
CLIA Number07D2113888
Laboratory TypeAmbulance
Certificate Effective DateJune 2, 2026
Certificate Expiration DateJune 1, 2028
Laboratory DirectorMelissa D. Ainsworth
Laboratory Phone(860) 564-7410
Laboratory LocationAmerican Legion Ambulance Fund, Inc30 Norwich Rd, Plainfield, CT 06374
CLIA data matches this NPI record on: 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.
3,438 services252 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.
288 services183 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.
149 services110 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 American Legion Ambulance Fund Inc's NPI number?

The NPI number for American Legion Ambulance Fund Inc is 1043208416. It was assigned to this organization in the NPPES registry on October 11, 2005.

Where is American Legion Ambulance Fund Inc located?

American Legion Ambulance Fund Inc is located at 298 Main St, Moosup, CT 06354. The listed phone number is (860) 564-7410.

What is American Legion Ambulance Fund Inc's specialty?

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

Is American Legion Ambulance Fund Inc enrolled in Medicare?

Yes. American Legion Ambulance Fund Inc is registered in the Medicare PECOS enrollment system.

When is American Legion Ambulance Fund Inc'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 (Connecticut, 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 American Legion Ambulance Fund Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 07D2113888) is associated with this NPI, valid through June 1, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does American Legion Ambulance Fund Inc accept?

Health plans from Anthem Blue Cross and Blue Shield list American Legion Ambulance Fund 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 American Legion Ambulance Fund Inc was last updated on September 4, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.