EAGLES MERE VOLUNTEER AMBULANCE
NPI 1114942992
Ambulance - Land Transport in Eagles Mere, PA
About Eagles Mere Volunteer Ambulance NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EAGLES MERE VOLUNTEER AMBULANCE (NPI 1114942992) is a healthcare organization registered as a land transport in Eagles Mere, Pennsylvania and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through April 29, 2028 and lists Rich Schaefer, Ambulance Captain, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment and revalidation status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Eagles Mere Volunteer Ambulance is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
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 39D2147890
Eagles Mere Volunteer Ambulance Association · Eagles Mere, PAAreas of Expertise CMS Part B claims 2
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.
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 Eagles Mere Volunteer Ambulance's NPI number?
The NPI number for Eagles Mere Volunteer Ambulance is 1114942992. It was assigned to this organization in the NPPES registry on July 13, 2006.
Where is Eagles Mere Volunteer Ambulance located?
Eagles Mere Volunteer Ambulance is located at 49 Fern Ln, Eagles Mere, PA 17731. The listed phone number is (570) 525-3422.
What is Eagles Mere Volunteer Ambulance's specialty?
The primary specialty registered for this NPI is Ambulance, specializing in Land Transport, with taxonomy code 3416L0300X.
Is Eagles Mere Volunteer Ambulance enrolled in Medicare?
Yes. Eagles Mere Volunteer Ambulance is registered in the Medicare PECOS enrollment system.
When is Eagles Mere Volunteer Ambulance's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Pennsylvania, Ambulance Service Supplier) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
Does Eagles Mere Volunteer Ambulance hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 39D2147890) is associated with this NPI, valid through April 29, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Eagles Mere Volunteer Ambulance was last updated on June 11, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Eagles Mere Volunteer Ambulance · NPI 1114942992
Land Transport organization in Eagles Mere, Pennsylvania. Organization record, active in the CMS NPPES registry since July 13, 2006.
## Identity
- **NPI:** 1114942992 (Entity type: Organization)
- **Enumerated:** July 13, 2006
- **Primary specialty:** Ambulance - Land Transport · taxonomy 3416L0300X
- **Organization subpart:** No
- **Authorized official:** Rich Schaefer, AMBULANCE CAPTAIN
## Practice location
- **Address:** 49 FERN LN, Eagles Mere, PA 17731
- **Phone:** (570) 525-3422 · **Fax:** (570) 265-4797
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Non-DME Part B, Pennsylvania, Ambulance Service Supplier) · CMS Revalidation Due Date List, October 2026 release
## Record status
- **NPPES last updated:** June 11, 2012
- **Other identifiers:** Medicaid 0012599070003 (PA); Medicare PIN 184327 (PA)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1114942992) · Data from the CMS NPPES public registry.