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CHAMPLAIN EMS INC
NPI 1053394239
Ambulance in Champlain, NY

Active since November 22, 2005CLIA 33D2293740 · Waiver
1150 STATE ROUTE 11, CHAMPLAIN, NY 12919(518) 298-5911(518) 298-3918 Get Directions Write a Review

NPPES record last updated: November 27, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 28, 2023, Sep 3, 2020 (2 updates tracked since 2020).

About Champlain Ems Inc NPPES

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

CHAMPLAIN EMS INC (NPI 1053394239) is a healthcare organization registered as an ambulance in Champlain, New York and active in the NPI registry since November 2005. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Cory Thompson, President, as its authorized official.

NPPES Registry Identity

NPI1053394239
Entity TypeOrganization
Primary Taxonomy341600000X
Legal Business NameCHAMPLAIN EMS INC
Location Address1150 STATE ROUTE 11Champlain, NY 12919-4526
Mailing AddressPo Box 535Baldwinsville, NY 13027-0535 · (315) 635-1789 · Fax (315) 635-3289
Phone(518) 298-5911
Fax(518) 298-3918
Organization SubpartNo
Authorized OfficialCory ThompsonPresident · (518) 298-5911
Enumeration DateNovember 22, 2005
Last NPPES UpdateNovember 27, 20242 updates tracked since enumeration
NPPES CertifiedNovember 27, 2024
✔ NPI 1053394239 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulanceTransportation Services
Taxonomy Code341600000X
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).
1150 STATE ROUTE 11, Champlain, NY 12919
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Other Identifiers 2

OtherP00122123Palmetto Gba-railroad
Medicaid02568050NY

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 33D2293740

Champlain Ems Inc · Champlain, NY
Active · expires Mar 26, 2027
CLIA Number33D2293740
Laboratory TypeAmbulance
Certificate Effective DateNovember 14, 2023
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Michael Durso
Laboratory Phone(518) 298-5911
Laboratory LocationChamplain Ems Inc1150 State Rte 11, Champlain, NY 12919
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.
5,875 services163 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.
152 services117 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.
107 services74 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 Champlain Ems Inc's NPI number?

The NPI number for Champlain Ems Inc is 1053394239. It was assigned to this organization in the NPPES registry on November 22, 2005.

Where is Champlain Ems Inc located?

Champlain Ems Inc is located at 1150 State Route 11, Champlain, NY 12919. The listed phone number is (518) 298-5911.

What is Champlain Ems Inc's specialty?

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

Does Champlain Ems Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2293740) 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 Champlain Ems Inc was last updated on November 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.