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LEBANON VOLUNTEER FIRE DEPARTMENT
NPI 1295720043
Ambulance - Land Transport in Lebanon, CT

Active since September 19, 2005CLIA 07D2114033 · Waiver
23 GOSHEN HILL RD, LEBANON, CT 06249(860) 642-7546 Get Directions Write a Review

NPPES record last updated: September 17, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lebanon Volunteer Fire Department NPPES

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

LEBANON VOLUNTEER FIRE DEPARTMENT (NPI 1295720043) is a healthcare organization registered as a land transport in Lebanon, Connecticut and active in the NPI registry since September 2005. The organization holds a CLIA Waiver certificate valid through June 5, 2028 and lists Betsy Petrie, Captain, as its authorized official.

NPPES Registry Identity

NPI1295720043
Entity TypeOrganization
Primary Taxonomy3416L0300X
Legal Business NameLEBANON VOLUNTEER FIRE DEPARTMENT
Location Address23 GOSHEN HILL RDLebanon, CT 06249-1710
Mailing Address269 Main StCromwell, CT 06416-2302 · (860) 638-1800 · Fax (860) 638-1802
Phone(860) 642-7546
Organization SubpartNo
Authorized OfficialBetsy PetrieCaptain · (860) 642-7546
Enumeration DateSeptember 19, 2005
Last NPPES UpdateSeptember 17, 2010
✔ NPI 1295720043 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulance · Land TransportTransportation Services
Taxonomy Code3416L0300X
23 GOSHEN HILL RD, Lebanon, CT 06249
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Other Identifiers 4

Medicaid004239952CT
Other710C071B1CT01Blue Cross/blue Shield
Medicare ID-Type Unspecified590000187
OtherCU6728Healthnet

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 07D2114033

Lebanon Vounteer Fire Department, Inc · Lebanon, CT
Active · expires Jun 5, 2028
CLIA Number07D2114033
Laboratory TypeAmbulance
Certificate Effective DateJune 6, 2026
Certificate Expiration DateJune 5, 2028
Laboratory DirectorMr. Mark Elliott Aprn
Laboratory Phone(860) 204-2556
Laboratory LocationLebanon Vounteer Fire Department, Inc23 Goshen Hill Rd, Lebanon, CT 06249
CLIA data matches this NPI record on: Address
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.
950 services64 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.
67 services44 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.
34 services28 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 Lebanon Volunteer Fire Department's NPI number?

The NPI number for Lebanon Volunteer Fire Department is 1295720043. It was assigned to this organization in the NPPES registry on September 19, 2005.

Where is Lebanon Volunteer Fire Department located?

Lebanon Volunteer Fire Department is located at 23 Goshen Hill Rd, Lebanon, CT 06249. The listed phone number is (860) 642-7546.

What is Lebanon Volunteer Fire Department's specialty?

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

Does Lebanon Volunteer Fire Department hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 07D2114033) is associated with this NPI, valid through June 5, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Lebanon Volunteer Fire Department was last updated on September 17, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.