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MAHAFFEY COMMUNITY AMBULANCE SERVICE
NPI 1164566329
Ambulance in Mahaffey, PA

Active since February 19, 2007CLIA 39D2179605 · Waiver
104 E MAIN ST, MAHAFFEY, PA 15757(814) 277-5560(814) 277-5560 Get Directions Write a Review

NPPES record last updated: April 23, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mahaffey Community Ambulance Service NPPES

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

MAHAFFEY COMMUNITY AMBULANCE SERVICE (NPI 1164566329) is a healthcare organization registered as an ambulance in Mahaffey, Pennsylvania and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through February 26, 2028 and lists Marcia Smith, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1164566329
Entity TypeOrganization
Primary Taxonomy341600000X
Legal Business NameMAHAFFEY COMMUNITY AMBULANCE SERVICE
Location Address104 E MAIN STMahaffey, PA 15757-6338
Mailing AddressPo Box 32Mahaffey, PA 15757-0032 · (814) 277-5560
Phone(814) 277-5560
Fax(814) 277-5560
Organization SubpartNo
Authorized OfficialMarcia SmithAuthorized Official · (814) 277-5560
Enumeration DateFebruary 19, 2007
Last NPPES UpdateApril 23, 2025
NPPES CertifiedApril 23, 2025
✔ NPI 1164566329 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulanceTransportation Services
Taxonomy Code341600000X
License✔ Licensed in PA · 17009
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).
104 E MAIN ST, Mahaffey, PA 15757
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Other Identifiers 1

Medicaid0007657100002PA

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mahaffey Community Ambulance Service is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by October 31, 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.

StateEnrollment IDDue date
StatePennsylvaniaEnrollment IDO20121011000805Non-DME Part B · Ambulance Service SupplierDue dateOctober 31, 2026
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 39D2179605

Mahaffey Community Ambulance · Mahaffey, PA
Active · expires Feb 26, 2028
CLIA Number39D2179605
Laboratory TypeAmbulance
Certificate Effective DateFebruary 27, 2026
Certificate Expiration DateFebruary 26, 2028
Laboratory DirectorJames Dickson
Laboratory Phone(814) 277-5560
Laboratory LocationMahaffey Community Ambulance104 East Main Street, Mahaffey, PA 15757
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Mahaffey Community Ambulance Service's NPI number?

The NPI number for Mahaffey Community Ambulance Service is 1164566329. It was assigned to this organization in the NPPES registry on February 19, 2007.

Where is Mahaffey Community Ambulance Service located?

Mahaffey Community Ambulance Service is located at 104 E Main St, Mahaffey, PA 15757. The listed phone number is (814) 277-5560.

What is Mahaffey Community Ambulance Service's specialty?

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

Is Mahaffey Community Ambulance Service enrolled in Medicare?

Yes. Mahaffey Community Ambulance Service is registered in the Medicare PECOS enrollment system.

When is Mahaffey Community Ambulance Service'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 October 31, 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 Mahaffey Community Ambulance Service hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D2179605) is associated with this NPI, valid through February 26, 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 Mahaffey Community Ambulance Service was last updated on April 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.