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BALLY COMMUNITY AMBULANCE ASSOCIATION
NPI 1275663163
Ambulance - Land Transport in Bally, PA

Active since March 07, 2007CLIA 39D2137171 · Waiver
537 CHESTNUT ST, BALLY, PA 19503(610) 845-2501(610) 845-7898 Get Directions Write a Review

NPPES record last updated: November 6, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 6, 2025, Feb 8, 2017, Dec 28, 2016 (3 updates tracked since 2016).

About Bally Community Ambulance Association NPPES

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

BALLY COMMUNITY AMBULANCE ASSOCIATION (NPI 1275663163) is a healthcare organization registered as a land transport in Bally, Pennsylvania and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through September 20, 2027 and lists Michael Groff, Director, as its authorized official.

NPPES Registry Identity

NPI1275663163
Entity TypeOrganization
Primary Taxonomy3416L0300X
Legal Business NameBALLY COMMUNITY AMBULANCE ASSOCIATION
Location Address537 CHESTNUT STBally, PA 19503-9615
Mailing AddressPo Box 353Bally, PA 19503-0353 · (610) 845-2501 · Fax (610) 845-7898
Phone(610) 845-2501
Fax(610) 845-7898
Organization SubpartNo
Authorized OfficialMichael GroffDirector · (610) 845-2501
Enumeration DateMarch 7, 2007
Last NPPES UpdateNovember 6, 20253 updates tracked since enumeration
NPPES CertifiedNovember 6, 2025
✔ NPI 1275663163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulance · Land TransportTransportation Services
Taxonomy Code3416L0300X
537 CHESTNUT ST, Bally, PA 19503
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Other Names 1

Other NameBally Community Ambulance

Other Identifiers 1

Medicaid0011886090001PA

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bally Community Ambulance Association 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 IDO20081205000443Non-DME Part B · Ambulance Service SupplierDue dateNovember 30, 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 39D2137171

Bally Community Ambulance Association · Bally, PA
Active · expires Sep 20, 2027
CLIA Number39D2137171
Laboratory TypeAmbulance
Certificate Effective DateSeptember 21, 2025
Certificate Expiration DateSeptember 20, 2027
Laboratory DirectorDr. Jeffrey M. Kuklinski
Laboratory Phone(610) 845-8593
Laboratory LocationBally Community Ambulance Association537 Chestnut Street, Bally, PA 19503
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 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.
4,840 services260 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.
269 services210 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.
95 services76 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 Bally Community Ambulance Association's NPI number?

The NPI number for Bally Community Ambulance Association is 1275663163. It was assigned to this organization in the NPPES registry on March 7, 2007. The provider is also known as Bally Community Ambulance.

Where is Bally Community Ambulance Association located?

Bally Community Ambulance Association is located at 537 Chestnut St, Bally, PA 19503. The listed phone number is (610) 845-2501.

What is Bally Community Ambulance Association's specialty?

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

Is Bally Community Ambulance Association enrolled in Medicare?

Yes. Bally Community Ambulance Association is registered in the Medicare PECOS enrollment system.

When is Bally Community Ambulance Association'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.

Does Bally Community Ambulance Association hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D2137171) is associated with this NPI, valid through September 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 Bally Community Ambulance Association was last updated on November 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.