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WHITE HAVEN RESCUE UNIT, INC.
NPI 1104042019
Ambulance - Land Transport in White Haven, PA

Active since April 18, 2007CLIA 39D2199587 · Waiver
500 TOWANDA ST # 502, WHITE HAVEN, PA 18661(570) 443-9499(570) 443-0666 Get Directions Write a Review

NPPES record last updated: January 19, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About White Haven Rescue Unit, Inc. NPPES

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

WHITE HAVEN RESCUE UNIT, INC. (NPI 1104042019) is a healthcare organization registered as a land transport in White Haven, Pennsylvania and active in the NPI registry since April 2007. The organization holds a CLIA Waiver certificate valid through November 9, 2026 and lists George D Wood, Vice President, as its authorized official.

NPPES Registry Identity

NPI1104042019
Entity TypeOrganization
Primary Taxonomy3416L0300X
Legal Business NameWHITE HAVEN RESCUE UNIT, INC.
Location Address500 TOWANDA ST # 502White Haven, PA 18661-1519
Mailing Address500 Towanda StWhite Haven, PA 18661-1519 · (570) 443-9499
Phone(570) 443-9499
Fax(570) 443-0666
Organization SubpartNo
Authorized OfficialGeorge D WoodVice President · (570) 443-9499
Enumeration DateApril 18, 2007
Last NPPES UpdateJanuary 19, 2025
NPPES CertifiedJanuary 19, 2025
✔ NPI 1104042019 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulance · Land TransportTransportation Services
Taxonomy Code3416L0300X
License✔ Licensed in PA · 05049
500 TOWANDA ST # 502, White Haven, PA 18661
Open in Google Maps ↗

Other Identifiers 4

Medicaid0011031380002PA
Other060409PA · First Priority Health
Other590008841PA · Railroad Medicare
Other800423PA · Federal Black Lung

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 39D2199587

White Haven Rescue Unit · White Haven, PA
Active · expires Nov 9, 2026
CLIA Number39D2199587
Laboratory TypeAmbulance
Certificate Effective DateNovember 10, 2024
Certificate Expiration DateNovember 9, 2026
Laboratory DirectorGabriel M. Metric
Laboratory Phone(570) 443-9499
Laboratory LocationWhite Haven Rescue Unit500 Towanda Street, White Haven, PA 18661
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.
862 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.
38 services36 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.
19 services18 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 White Haven Rescue Unit, Inc.'s NPI number?

The NPI number for White Haven Rescue Unit, Inc. is 1104042019. It was assigned to this organization in the NPPES registry on April 18, 2007.

Where is White Haven Rescue Unit, Inc. located?

White Haven Rescue Unit, Inc. is located at 500 Towanda St # 502, White Haven, PA 18661. The listed phone number is (570) 443-9499.

What is White Haven Rescue Unit, Inc.'s specialty?

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

Does White Haven Rescue Unit, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D2199587) is associated with this NPI, valid through November 9, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for White Haven Rescue Unit, Inc. was last updated on January 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.