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PENNS CREEK AMBULANCE CLUB
NPI 1225015738
Ambulance - Land Transport in Penns Creek, PA

Active since December 27, 2005
704 TROXELVILLE RD, PENNS CREEK, PA 17862(570) 837-3407 Get Directions Write a Review

NPPES record last updated: September 24, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Penns Creek Ambulance Club NPPES

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

PENNS CREEK AMBULANCE CLUB (NPI 1225015738) is a healthcare organization registered as a land transport in Penns Creek, Pennsylvania and active in the NPI registry since December 2005. The organization lists Dorothy Richard, President, as its authorized official.

NPPES Registry Identity

NPI1225015738
Entity TypeOrganization
Primary Taxonomy3416L0300X
Legal Business NamePENNS CREEK AMBULANCE CLUB
Location Address704 TROXELVILLE RDPenns Creek, PA 17862
Mailing AddressPo Box 125Penns Creek, PA 17862-0125 · (570) 837-1943
Phone(570) 837-3407
Organization SubpartNo
Authorized OfficialDorothy RichardPresident · (570) 837-3407
Enumeration DateDecember 27, 2005
Last NPPES UpdateSeptember 24, 2008
✔ NPI 1225015738 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulance · Land TransportTransportation Services
Taxonomy Code3416L0300X
704 TROXELVILLE RD, Penns Creek, PA 17862
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Other Identifiers 2

Medicaid0012246700001PA
Medicare PIN216058PA

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Penns Creek Ambulance Club is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 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 IDO20040512000124Non-DME Part B · Ambulance Service SupplierDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

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 Penns Creek Ambulance Club's NPI number?

The NPI number for Penns Creek Ambulance Club is 1225015738. It was assigned to this organization in the NPPES registry on December 27, 2005.

Where is Penns Creek Ambulance Club located?

Penns Creek Ambulance Club is located at 704 Troxelville Rd, Penns Creek, PA 17862. The listed phone number is (570) 837-3407.

What is Penns Creek Ambulance Club's specialty?

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

Is Penns Creek Ambulance Club enrolled in Medicare?

Yes. Penns Creek Ambulance Club is registered in the Medicare PECOS enrollment system.

When is Penns Creek Ambulance Club'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 November 30, 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 Penns Creek Ambulance Club was last updated on September 24, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.