SHENANDOAH COMMUNITY AMBULANCE ASSOCIATION
NPI 1124010293
Ambulance - Land Transport in Shenandoah, PA

Q: What is Shenandoah Community Ambulance Association's specialty?

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

Active since August 16, 2005CLIA 39D2138296 · Waiver

229 N MAIN ST, SHENANDOAH, PA 17976(570) 462-0500 Get Directions Write a Review

NPPES record last updated: December 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 30, 2025, Jun 18, 2020 (2 updates tracked since 2020).

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About Shenandoah Community Ambulance Association NPPES

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

SHENANDOAH COMMUNITY AMBULANCE ASSOCIATION (NPI 1124010293) is a healthcare organization registered as a land transport in Shenandoah, Pennsylvania and active in the NPI registry since August 2005. The organization holds a CLIA Waiver certificate valid through October 12, 2027 and lists Richard Examitas, President, as its authorized official.

NPPES Registry Identity

NPI1124010293

Entity TypeOrganization

Primary Taxonomy3416L0300X

Legal Business NameSHENANDOAH COMMUNITY AMBULANCE ASSOCIATION

Location Address229 N MAIN STShenandoah, PA 17976-1705

Mailing Address229 N Main StShenandoah, PA 17976-1705 · (570) 462-0500 · Fax (570) 462-1657

Phone(570) 462-0500

Organization SubpartNo

Authorized OfficialRichard ExamitasPresident · (570) 462-0500

Enumeration DateAugust 16, 2005

Last NPPES UpdateDecember 30, 20252 updates tracked since enumeration

NPPES CertifiedDecember 30, 2025

✔ NPI 1124010293 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 · 01291

229 N MAIN ST, Shenandoah, PA 17976

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Other Identifiers 1

Medicaid001058990PA

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 39D2138296

Shenandoah Community Ambulance Association, Inc · Shenandoah, PA

Active · expires Oct 12, 2027

CLIA Number39D2138296

Laboratory TypeAmbulance

Certificate Effective DateOctober 13, 2025

Certificate Expiration DateOctober 12, 2027

Laboratory DirectorMark J. Wiekrykas

Laboratory Phone(570) 426-0500

Laboratory LocationShenandoah Community Ambulance Association, Inc220 N White St, Shenandoah, PA 17976

CLIA data matches this NPI record on: Name

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.

6,939 services312 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.

271 services189 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.

192 services153 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 Shenandoah Community Ambulance Association's NPI number?

The NPI number for Shenandoah Community Ambulance Association is 1124010293. It was assigned to this organization in the NPPES registry on August 16, 2005.

Where is Shenandoah Community Ambulance Association located?

Shenandoah Community Ambulance Association is located at 229 N Main St, Shenandoah, PA 17976. The listed phone number is (570) 462-0500.

What is Shenandoah Community Ambulance Association's specialty?

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

Does Shenandoah Community Ambulance Association hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D2138296) is associated with this NPI, valid through October 12, 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 Shenandoah Community Ambulance Association was last updated on December 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.