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JORDAN AMBULANCE
NPI 1205103645
Ambulance in Jordan, NY

Active since November 30, 2011CLIA 33D1098145 · Waiver
1 N HAMILTON ST, JORDAN, NY 13080(315) 689-3923(315) 689-1262 Get Directions Write a Review

NPPES record last updated: December 20, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 12, 2023, Sep 8, 2020 (2 updates tracked since 2020).

About Jordan Ambulance NPPES

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

JORDAN AMBULANCE (NPI 1205103645) is a healthcare organization registered as an ambulance in Jordan, New York and active in the NPI registry since November 2011. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Douglas Milton, Chief, as its authorized official.

NPPES Registry Identity

NPI1205103645
Entity TypeOrganization
Primary Taxonomy341600000X
Legal Business NameOLD ERIE EMERGENCY SERVICES INC
Location Address1 N HAMILTON STJordan, NY 13080-9799
Mailing AddressPo Box 535Baldwinsville, NY 13027-0535 · (315) 635-1789 · Fax (315) 635-3289
Phone(315) 689-3923
Fax(315) 689-1262
Organization SubpartNo
Authorized OfficialDouglas MiltonChief · (315) 689-3923
Enumeration DateNovember 30, 2011
Last NPPES UpdateDecember 20, 20232 updates tracked since enumeration
NPPES CertifiedDecember 20, 2023
✔ NPI 1205103645 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulanceTransportation Services
Taxonomy Code341600000X
License✔ Licensed in NY · 0000
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).
1 N HAMILTON ST, Jordan, NY 13080
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Other Names 1

Doing Business AsJordan Ambulance

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 33D1098145

Old Erie Emergency Services Inc Dba Jordan Ambulance · Jordan, NY
Active · expires Mar 26, 2027
CLIA Number33D1098145
Laboratory TypeAmbulance
Certificate Effective DateFebruary 27, 2017
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Michael R. Jorolemon
Laboratory Phone(315) 689-3923
Laboratory LocationOld Erie Emergency Services Inc Dba Jordan Ambulance1 N Hamilton Street, Jordan, NY 13080
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 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.
3,205 services149 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.
107 services90 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.
99 services71 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 Old Erie Emergency Services Inc's NPI number?

The NPI number for Old Erie Emergency Services Inc is 1205103645. It was assigned to this organization in the NPPES registry on November 30, 2011. The provider is doing business as Jordan Ambulance.

Where is Old Erie Emergency Services Inc located?

Old Erie Emergency Services Inc is located at 1 N Hamilton St, Jordan, NY 13080. The listed phone number is (315) 689-3923.

What is Old Erie Emergency Services Inc's specialty?

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

Does Old Erie Emergency Services Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D1098145) 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 Old Erie Emergency Services Inc was last updated on December 20, 2023. 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.