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BROCKWAY AREA AMBULANCE SERVICE, INC
NPI 1174605455
Ambulance - Land Transport in Brockway, PA

Active since October 19, 2006
1147 CHERRY ST, BROCKWAY, PA 15824(814) 265-1212(814) 265-8898 Get Directions Write a Review

NPPES record last updated: March 18, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Brockway Area Ambulance Service, Inc NPPES

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

BROCKWAY AREA AMBULANCE SERVICE, INC (NPI 1174605455) is a healthcare organization registered as a land transport in Brockway, Pennsylvania and active in the NPI registry since October 2006. The organization lists Lisa Work, President Of Board, as its authorized official.

NPPES Registry Identity

NPI1174605455
Entity TypeOrganization
Primary Taxonomy3416L0300X
Legal Business NameBROCKWAY AREA AMBULANCE SERVICE, INC
Location Address1147 CHERRY STBrockway, PA 15824-1627
Mailing AddressPo Box 222Brockway, PA 15824-0222 · (814) 265-1212 · Fax (814) 265-8898
Phone(814) 265-1212
Fax(814) 265-8898
Organization SubpartNo
Authorized OfficialLisa WorkPresident Of Board · (814) 265-1212
Enumeration DateOctober 19, 2006
Last NPPES UpdateMarch 18, 2016
✔ NPI 1174605455 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 · 05125
1147 CHERRY ST, Brockway, PA 15824
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Other Identifiers 4

Medicare ID-Type Unspecified287985PA
Medicaid0009913720001PA
Other590013532PA · Railroad Medicare
Other044421PA · Umwa

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brockway Area Ambulance Service, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 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 IDO20061213000133Non-DME Part B · Ambulance Service SupplierDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Areas of Expertise CMS Part B claims 5

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.
4,501 services176 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.
85 services66 patients
Ambulance service, basic life support, non-emergency transport, (bls) A0428
Basic Life Support (BLS) non-emergency ambulance service provides safe transportation for patients who don't need immediate medical attention. It includes monitoring vital signs, ensuring comfort, and administering basic care during transport.
76 services69 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.
47 services39 patients
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) A0426
Ambulance Service, Advanced Life Support, Non-Emergency Transport, Level 1 (ALS 1) is a medical transportation service for patients who don't have an immediate life-threatening condition but require advanced medical monitoring or interventions during the journey.
30 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 Brockway Area Ambulance Service, Inc's NPI number?

The NPI number for Brockway Area Ambulance Service, Inc is 1174605455. It was assigned to this organization in the NPPES registry on October 19, 2006.

Where is Brockway Area Ambulance Service, Inc located?

Brockway Area Ambulance Service, Inc is located at 1147 Cherry St, Brockway, PA 15824. The listed phone number is (814) 265-1212.

What is Brockway Area Ambulance Service, Inc's specialty?

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

Is Brockway Area Ambulance Service, Inc enrolled in Medicare?

Yes. Brockway Area Ambulance Service, Inc is registered in the Medicare PECOS enrollment system.

When is Brockway Area Ambulance Service, 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 (Pennsylvania, Ambulance Service Supplier) is due for revalidation by December 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.

When was this NPI record last updated?

The NPPES record for Brockway Area Ambulance Service, Inc was last updated on March 18, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.