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JACOBUS LIONS AMBULANCE CLUB
NPI 1114925997
Ambulance - Land Transport in Jacobus, PA

Active since July 14, 2005CLIA 39D2136770 · Waiver
18 S MAIN ST, JACOBUS, PA 17407(717) 428-0218(717) 428-3259 Get Directions Write a Review

NPPES record last updated: December 2, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 2, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Jacobus Lions Ambulance Club NPPES

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

JACOBUS LIONS AMBULANCE CLUB (NPI 1114925997) is a healthcare organization registered as a land transport in Jacobus, Pennsylvania and active in the NPI registry since July 2005. The organization holds a CLIA Waiver certificate valid through September 14, 2027 and lists Christopher Krouse, Acting Chief, as its authorized official.

NPPES Registry Identity

NPI1114925997
Entity TypeOrganization
Primary Taxonomy3416L0300X
Legal Business NameJACOBUS LIONS AMBULANCE CLUB
Location Address18 S MAIN STJacobus, PA 17407-1304
Mailing Address18 S Main StJacobus, PA 17407-1304 · (717) 428-0218 · Fax (717) 428-3259
Phone(717) 428-0218
Fax(717) 428-3259
Organization SubpartNo
Authorized OfficialChristopher KrouseActing Chief · (717) 378-1090
Enumeration DateJuly 14, 2005
Last NPPES UpdateDecember 2, 20252 updates tracked since enumeration
NPPES CertifiedDecember 2, 2025
✔ NPI 1114925997 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 · 02228
18 S MAIN ST, Jacobus, PA 17407
Open in Google Maps ↗

Other Identifiers 1

Medicaid001264916PA

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 39D2136770

Jacobus Lions Club Ambulance · Jacobus, PA
Active · expires Sep 14, 2027
CLIA Number39D2136770
Laboratory TypeAmbulance
Certificate Effective DateSeptember 15, 2025
Certificate Expiration DateSeptember 14, 2027
Laboratory DirectorThomas R. Westenberger
Laboratory Phone(717) 428-0218
Laboratory LocationJacobus Lions Club Ambulance18 South Main Street, Jacobus, PA 17407
CLIA data matches this NPI record on: Address 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.
1,847 services262 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.
199 services158 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.
166 services128 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 Jacobus Lions Ambulance Club's NPI number?

The NPI number for Jacobus Lions Ambulance Club is 1114925997. It was assigned to this organization in the NPPES registry on July 14, 2005.

Where is Jacobus Lions Ambulance Club located?

Jacobus Lions Ambulance Club is located at 18 S Main St, Jacobus, PA 17407. The listed phone number is (717) 428-0218.

What is Jacobus Lions Ambulance Club's specialty?

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

Does Jacobus Lions Ambulance Club hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D2136770) is associated with this NPI, valid through September 14, 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 Jacobus Lions Ambulance Club was last updated on December 2, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.