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GOULDSBORO AMBULANCE SQUAD INC
NPI 1063462612
Ambulance - Land Transport in Gouldsboro, PA

Active since May 12, 2006CLIA 39D2167114 · Waiver
490 MAIN ST, GOULDSBORO, PA 18424(570) 842-4175 Get Directions Write a Review

NPPES record last updated: November 18, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gouldsboro Ambulance Squad Inc NPPES

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

GOULDSBORO AMBULANCE SQUAD INC (NPI 1063462612) is a healthcare organization registered as a land transport in Gouldsboro, Pennsylvania and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through June 2, 2027 and lists Carol Rinaldi, President, as its authorized official.

NPPES Registry Identity

NPI1063462612
Entity TypeOrganization
Primary Taxonomy3416L0300X
Legal Business NameGOULDSBORO AMBULANCE SQUAD INC
Location Address490 MAIN STGouldsboro, PA 18424-8836
Mailing AddressPo Box 255Gouldsboro, PA 18424-0255 · (570) 842-4175 · Fax (570) 842-1516
Phone(570) 842-4175
Organization SubpartNo
Authorized OfficialCarol RinaldiPresident · (570) 842-4175
Enumeration DateMay 12, 2006
Last NPPES UpdateNovember 18, 2015
✔ NPI 1063462612 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulance · Land TransportTransportation Services
Taxonomy Code3416L0300X
490 MAIN ST, Gouldsboro, PA 18424
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Other Identifiers 3

Medicare PIN590013515
Medicare PIN207322PA
Medicaid0015841830001PA

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 39D2167114

Gouldsboro Ambulance Squad, Inc · Gouldsboro, PA
Active · expires Jun 2, 2027
CLIA Number39D2167114
Laboratory TypeAmbulance
Certificate Effective DateJune 3, 2025
Certificate Expiration DateJune 2, 2027
Laboratory DirectorDr. Mark Crowell
Laboratory Phone(570) 842-4175
Laboratory LocationGouldsboro Ambulance Squad, Inc490 Main Street, Gouldsboro, PA 18424
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.
864 services37 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.
29 services27 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.
14 services14 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 Gouldsboro Ambulance Squad Inc's NPI number?

The NPI number for Gouldsboro Ambulance Squad Inc is 1063462612. It was assigned to this organization in the NPPES registry on May 12, 2006.

Where is Gouldsboro Ambulance Squad Inc located?

Gouldsboro Ambulance Squad Inc is located at 490 Main St, Gouldsboro, PA 18424. The listed phone number is (570) 842-4175.

What is Gouldsboro Ambulance Squad Inc's specialty?

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

Does Gouldsboro Ambulance Squad Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D2167114) is associated with this NPI, valid through June 2, 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 Gouldsboro Ambulance Squad Inc was last updated on November 18, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.