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CENTEREACH FIRE DISTRICT
NPI 1053050864
Ambulance - Land Transport in Centereach, NY

Active since May 31, 2022CLIA 33D2287789 · Waiver
9 S WASHINGTON AVE, CENTEREACH, NY 11720(631) 588-8652 Get Directions Write a Review

NPPES record last updated: May 31, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Centereach Fire District NPPES

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

CENTEREACH FIRE DISTRICT (NPI 1053050864) is a healthcare organization registered as a land transport in Centereach, New York and active in the NPI registry since May 2022. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Michael Cooper, District Manager, as its authorized official.

NPPES Registry Identity

NPI1053050864
Entity TypeOrganization
Primary Taxonomy3416L0300X
Legal Business NameCENTEREACH FIRE DISTRICT
Location Address9 S WASHINGTON AVECentereach, NY 11720-4039
Mailing Address9 S Washington AveCentereach, NY 11720-4039 · (631) 588-8652
Phone(631) 588-8652
Organization SubpartNo
Authorized OfficialMichael CooperDistrict Manager · (631) 588-8652
Enumeration DateMay 31, 2022
NPPES CertifiedMay 31, 2022
✔ NPI 1053050864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulance · Land TransportTransportation Services
Taxonomy Code3416L0300X
9 S WASHINGTON AVE, Centereach, NY 11720
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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 33D2287789

Centereach Fire District · Centereach, NY
Active · expires Mar 26, 2027
CLIA Number33D2287789
Laboratory TypeAmbulance
Certificate Effective DateAugust 17, 2023
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Lincoln I. Cox
Laboratory Phone(631) 588-8652
Laboratory LocationCentereach Fire District9 S Washington Ave, Centereach, NY 11720
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.
4,468 services606 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.
539 services387 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.
372 services298 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 Centereach Fire District's NPI number?

The NPI number for Centereach Fire District is 1053050864. It was assigned to this organization in the NPPES registry on May 31, 2022.

Where is Centereach Fire District located?

Centereach Fire District is located at 9 S Washington Ave, Centereach, NY 11720. The listed phone number is (631) 588-8652.

What is Centereach Fire District's specialty?

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

Does Centereach Fire District hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2287789) is associated with this NPI, valid through March 26, 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 Centereach Fire District was last updated on May 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.