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GREENWOOD LAKE AMBULANCE, INC.
NPI 1093049504
Ambulance - Land Transport in Greenwood Lake, NY

Active since September 30, 2009CLIA 33D2011866 · Waiver
74 WINDERMERE AVE, GREENWOOD LAKE, NY 10925(845) 477-2200 Get Directions Write a Review

NPPES record last updated: September 30, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Greenwood Lake Ambulance, Inc. NPPES

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

GREENWOOD LAKE AMBULANCE, INC. (NPI 1093049504) is a healthcare organization registered as a land transport in Greenwood Lake, New York and active in the NPI registry since September 2009. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Eileen C Diffley, President, as its authorized official.

NPPES Registry Identity

NPI1093049504
Entity TypeOrganization
Primary Taxonomy3416L0300X
Legal Business NameGREENWOOD LAKE AMBULANCE, INC.
Location Address74 WINDERMERE AVEGreenwood Lake, NY 10925-0223
Mailing Address74 Windermere Ave, P.o. Box 223Greenwood Lake, NY 10925-0223 · (845) 477-2200
Phone(845) 477-2200
Organization SubpartNo
Authorized OfficialEileen C DiffleyPresident · (845) 721-5682
Enumeration DateSeptember 30, 2009
✔ NPI 1093049504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulance · Land TransportTransportation Services
Taxonomy Code3416L0300X
License✔ Licensed in NY · 03520
74 WINDERMERE AVE, Greenwood Lake, NY 10925
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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 33D2011866

Greenwood Lake Ambulance Inc · Greenwood Lake, NY
Active · expires Mar 26, 2027
CLIA Number33D2011866
Laboratory TypeAmbulance
Certificate Effective DateAugust 24, 2010
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Fred S. Revoredo
Laboratory Phone(845) 477-2200
Laboratory LocationGreenwood Lake Ambulance Inc74 Windermere Avenue, Greenwood Lake, NY 10925
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Greenwood Lake Ambulance, Inc.'s NPI number?

The NPI number for Greenwood Lake Ambulance, Inc. is 1093049504. It was assigned to this organization in the NPPES registry on September 30, 2009.

Where is Greenwood Lake Ambulance, Inc. located?

Greenwood Lake Ambulance, Inc. is located at 74 Windermere Ave, Greenwood Lake, NY 10925. The listed phone number is (845) 477-2200.

What is Greenwood Lake Ambulance, Inc.'s specialty?

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

Does Greenwood Lake Ambulance, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2011866) 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 Greenwood Lake Ambulance, Inc. was last updated on September 30, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.