MARATHON AREA VOLUNTEER AMBULANCE CORPS INC
NPI 1063407419
Ambulance - Land Transport in Marathon, NY

Active since September 13, 2005CLIA 33D2344537 · Waiver
2 PECK ST, MARATHON, NY 13803(607) 849-6337(607) 849-3263 Get Directions Write a Review

NPPES record last updated: April 12, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 12, 2023, Sep 4, 2020 (2 updates tracked since 2020).

About Marathon Area Volunteer Ambulance Corps Inc NPPES

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

MARATHON AREA VOLUNTEER AMBULANCE CORPS INC (NPI 1063407419) is a healthcare organization registered as a land transport in Marathon, New York and active in the NPI registry since September 2005. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Donald Bliss, President, as its authorized official.

NPPES Registry Identity

NPI1063407419
Entity TypeOrganization
Primary Taxonomy3416L0300X
Legal Business NameMARATHON AREA VOLUNTEER AMBULANCE CORPS INC
Location Address2 PECK STMarathon, NY 13803
Mailing AddressPo Box 535Baldwinsville, NY 13027-0535 · (315) 635-1789 · Fax (315) 635-3289
Fax(607) 849-3263
Organization SubpartNo
Authorized OfficialDonald BlissPresident · (607) 423-4777
Enumeration DateSeptember 13, 2005
Last NPPES UpdateApril 12, 20232 updates tracked since enumeration
NPPES CertifiedApril 12, 2023
NPI 1063407419 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAmbulance · Land TransportTransportation Services
Taxonomy Code3416L0300X
2 PECK ST, Marathon, NY 13803

Other Identifiers 1

Medicaid01981406NY

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 33D2344537

Marathon Area Volunteer Ambulance Corps Inc · Marathon, NY
Active · expires Mar 26, 2027
CLIA Number33D2344537
Laboratory TypeAmbulance
Certificate Effective DateMay 26, 2026
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. David D. Wirtz
Laboratory Phone(607) 849-6157
Laboratory LocationMarathon Area Volunteer Ambulance Corps Inc2 Peck St, Marathon, NY 13803
CLIA data matches this NPI record on: Address Name
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.
2,190 services69 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.
64 services52 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.
32 services25 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 Marathon Area Volunteer Ambulance Corps Inc's NPI number?

The NPI number for Marathon Area Volunteer Ambulance Corps Inc is 1063407419. It was assigned to this organization in the NPPES registry on September 13, 2005.

Where is Marathon Area Volunteer Ambulance Corps Inc located?

Marathon Area Volunteer Ambulance Corps Inc is located at 2 Peck St, Marathon, NY 13803. The listed phone number is (607) 849-6337.

What is Marathon Area Volunteer Ambulance Corps Inc's specialty?

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

Does Marathon Area Volunteer Ambulance Corps Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2344537) 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 Marathon Area Volunteer Ambulance Corps Inc was last updated on April 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.