UPPER DELAWARE AMBULANCE CORPS INC
NPI 1154350841
Ambulance in Hankins, NY

Active since July 03, 2006CLIA 33D2318257 · Waiver
26 KELLAM BRIDGE RD, HANKINS, NY 12741(315) 635-1789 Get Directions Write a Review

NPPES record last updated: December 12, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Upper Delaware Ambulance Corps Inc NPPES

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

UPPER DELAWARE AMBULANCE CORPS INC (NPI 1154350841) is a healthcare organization registered as an ambulance in Hankins, New York and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Frederick Knack, President, as its authorized official.

NPPES Registry Identity

NPI1154350841
Entity TypeOrganization
Primary Taxonomy341600000X
Legal Business NameUPPER DELAWARE AMBULANCE CORPS INC
Location Address26 KELLAM BRIDGE RDHankins, NY 12741-5002
Mailing AddressPo Box 535Baldwinsville, NY 13027-0535 · (315) 635-1789 · Fax (315) 635-3289
Organization SubpartNo
Authorized OfficialFrederick KnackPresident · (845) 887-6070
Enumeration DateJuly 3, 2006
Last NPPES UpdateDecember 12, 2011
✔ NPI 1154350841 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulanceTransportation Services
Taxonomy Code341600000X
License✔ Licensed in NY · 10005
Definition
An emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane).
26 KELLAM BRIDGE RD, Hankins, NY 12741

Other Identifiers 5

Other9611703Ghi
Other590013548Palmetto Gba Rr Medicare
Other4190489Mvp
Medicaid01812106NY
Medicare ID-Type UnspecifiedA28982NY

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Upper Delaware Ambulance Corps Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

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.

StateEnrollment IDDue date
StateNew YorkEnrollment IDO20110901000400Non-DME Part B · Ambulance Service SupplierDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

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 33D2318257

Upper Delaware Ambulance Corps Inc · Hankins, NY
Active · expires Mar 26, 2027
CLIA Number33D2318257
Laboratory TypeAmbulance
Certificate Effective DateFebruary 7, 2025
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Paul D. Salzberg
Laboratory Phone(845) 887-6070
Laboratory LocationUpper Delaware Ambulance Corps Inc26 Kellam Bridge Rd, Hankins, NY 12741
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 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.

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.
508 services33 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.
42 services30 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 Upper Delaware Ambulance Corps Inc's NPI number?

The NPI number for Upper Delaware Ambulance Corps Inc is 1154350841. It was assigned to this organization in the NPPES registry on July 3, 2006.

Where is Upper Delaware Ambulance Corps Inc located?

Upper Delaware Ambulance Corps Inc is located at 26 Kellam Bridge Rd, Hankins, NY 12741. The listed phone number is (315) 635-1789.

What is Upper Delaware Ambulance Corps Inc's specialty?

The primary specialty registered for this NPI is Ambulance with taxonomy code 341600000X.

Is Upper Delaware Ambulance Corps Inc enrolled in Medicare?

Yes. Upper Delaware Ambulance Corps Inc is registered in the Medicare PECOS enrollment system.

When is Upper Delaware Ambulance Corps Inc'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 (New York, Ambulance Service Supplier) is due for revalidation by January 31, 2027. 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 Upper Delaware Ambulance Corps Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2318257) 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 Upper Delaware Ambulance Corps Inc was last updated on December 12, 2011. 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.