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DOVER AREA AMBULANCE CLUB
NPI 1164406633
Ambulance - Land Transport in Dover, PA

Active since November 30, 2005CLIA 39D2138697 · Waiver
40 E CANAL ST, DOVER, PA 17315(717) 464-0724 Get Directions Write a Review

NPPES record last updated: May 28, 2024. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Dover Area Ambulance Club NPPES

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

DOVER AREA AMBULANCE CLUB (NPI 1164406633) is a healthcare organization registered as a land transport in Dover, Pennsylvania and active in the NPI registry since November 2005. The organization holds a CLIA Waiver certificate valid through October 23, 2027 and lists Daniel C Roth, Billing, as its authorized official.

NPPES Registry Identity

NPI1164406633
Entity TypeOrganization
Primary Taxonomy3416L0300X
Legal Business NameDOVER AREA AMBULANCE CLUB
Location Address40 E CANAL STDover, PA 17315-1502
Mailing AddressPo Box 329Willow Street, PA 17584-0329 · (717) 464-0724
Phone(717) 464-0724
Organization SubpartNo
Authorized OfficialDaniel C RothBilling · (717) 464-0724
Enumeration DateNovember 30, 2005
Last NPPES UpdateMay 28, 2024
NPPES CertifiedMay 28, 2024
✔ NPI 1164406633 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 · 03035
40 E CANAL ST, Dover, PA 17315
Open in Google Maps ↗

Other Identifiers 1

Medicaid00093465200004PA

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 39D2138697

Dover Area Ambulance · Dover, PA
Active · expires Oct 23, 2027
CLIA Number39D2138697
Laboratory TypeAmbulance
Certificate Effective DateOctober 24, 2025
Certificate Expiration DateOctober 23, 2027
Laboratory DirectorPeggy Durnin
Laboratory Phone(717) 292-9776
Laboratory LocationDover Area Ambulance40 East Canal Street, Dover, PA 17315
CLIA data matches this NPI record on: Address 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.
3,729 services365 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.
299 services229 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.
228 services196 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 Dover Area Ambulance Club's NPI number?

The NPI number for Dover Area Ambulance Club is 1164406633. It was assigned to this organization in the NPPES registry on November 30, 2005.

Where is Dover Area Ambulance Club located?

Dover Area Ambulance Club is located at 40 E Canal St, Dover, PA 17315. The listed phone number is (717) 464-0724.

What is Dover Area Ambulance Club's specialty?

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

Does Dover Area Ambulance Club hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D2138697) is associated with this NPI, valid through October 23, 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 Dover Area Ambulance Club was last updated on May 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.