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SOUTH CREEK AMBULANCE ASSN INC
NPI 1184630980
Ambulance - Land Transport in Gillett, PA

Active since August 01, 2006CLIA 39D2317245 · Waiver
33338 ROUTE 14, GILLETT, PA 16925(570) 596-7844(724) 887-9440 Get Directions Write a Review

NPPES record last updated: February 14, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 14, 2023, Aug 22, 2016 (2 updates tracked since 2016).

About South Creek Ambulance Assn Inc NPPES

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

SOUTH CREEK AMBULANCE ASSN INC (NPI 1184630980) is a healthcare organization registered as a land transport in Gillett, Pennsylvania and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through January 20, 2027 and lists Marion Pfeiffer, Treasurer, as its authorized official.

NPPES Registry Identity

NPI1184630980
Entity TypeOrganization
Primary Taxonomy3416L0300X
Legal Business NameSOUTH CREEK AMBULANCE ASSN INC
Location Address33338 ROUTE 14Gillett, PA 16925-8838
Mailing Address409 Porter AveScottdale, PA 15683-1141 · (724) 887-6822 · Fax (724) 887-9440
Phone(570) 596-7844
Fax(724) 887-9440
Organization SubpartNo
Authorized OfficialMarion PfeifferTreasurer · (570) 596-7844
Enumeration DateAugust 1, 2006
Last NPPES UpdateFebruary 14, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 14, 2023
✔ NPI 1184630980 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulance · Land TransportTransportation Services
Taxonomy Code3416L0300X
33338 ROUTE 14, Gillett, PA 16925
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Other Identifiers 2

Medicaid0008873560004PA
Medicaid02522576NY

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

South Creek Ambulance Assn Inc 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 IDO20070917000681Non-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 39D2317245

South Creek Ambulance Assn Inc · Gillett, PA
Active · expires Jan 20, 2027
CLIA Number39D2317245
Laboratory TypeAmbulance
Certificate Effective DateJanuary 21, 2025
Certificate Expiration DateJanuary 20, 2027
Laboratory DirectorSteven Rockwell
Laboratory Phone(607) 731-4217
Laboratory LocationSouth Creek Ambulance Assn Inc33338 Route 14, Gillett, PA 16925
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

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.
528 services12 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 South Creek Ambulance Assn Inc's NPI number?

The NPI number for South Creek Ambulance Assn Inc is 1184630980. It was assigned to this organization in the NPPES registry on August 1, 2006.

Where is South Creek Ambulance Assn Inc located?

South Creek Ambulance Assn Inc is located at 33338 Route 14, Gillett, PA 16925. The listed phone number is (570) 596-7844.

What is South Creek Ambulance Assn Inc's specialty?

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

Is South Creek Ambulance Assn Inc enrolled in Medicare?

Yes. South Creek Ambulance Assn Inc is registered in the Medicare PECOS enrollment system.

When is South Creek Ambulance Assn 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 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 South Creek Ambulance Assn Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D2317245) is associated with this NPI, valid through January 20, 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 South Creek Ambulance Assn Inc was last updated on February 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.