CLOVERDALE HEALTH CARE DISTRICT
NPI 1295886786
Ambulance in Cloverdale, CA

Q: What is Cloverdale Hospital District Ambulance's specialty?

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

Active since January 13, 2007CLIA 05D2170904 · Waiver

209 N MAIN ST, CLOVERDALE, CA 95425(707) 894-5862(707) 894-9532 Get Directions Write a Review

NPPES record last updated: September 23, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

On this page

About Cloverdale Health Care District NPPES

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

CLOVERDALE HEALTH CARE DISTRICT (NPI 1295886786) is a healthcare organization registered as an ambulance in Cloverdale, California and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through August 20, 2027 and lists Thomas K Hinrichs, Ceo, as its authorized official.

NPPES Registry Identity

NPI1295886786

Entity TypeOrganization

Primary Taxonomy341600000X

Legal Business NameCLOVERDALE HOSPITAL DISTRICT AMBULANCE

Location Address209 N MAIN STCloverdale, CA 95425-3333

Mailing Address209 N Main St, P.o. Box 33Cloverdale, CA 95425-3333 · (707) 894-5862 · Fax (707) 894-9532

Phone(707) 894-5862

Fax(707) 894-9532

Organization SubpartNo

Authorized OfficialThomas K HinrichsCeo · (707) 894-5862

Enumeration DateJanuary 13, 2007

Last NPPES UpdateSeptember 23, 2016

✔ NPI 1295886786 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulanceTransportation Services

Taxonomy Code341600000X

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).

209 N MAIN ST, Cloverdale, CA 95425

Open in Google Maps ↗

Other Names 1

Other NameCloverdale Health Care District

Other Identifiers 2

MedicaidZZZ82638ZCA

Medicare PINZZZ82638ZCA

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cloverdale Health Care District is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 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

StateCaliforniaEnrollment IDO20120410000281Non-DME Part B · Ambulance Service SupplierDue dateDecember 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 05D2170904

Cloverdale Health Care District -Ambulance · Cloverdale, CA

Active · expires Aug 20, 2027

CLIA Number05D2170904

Laboratory TypeAmbulance

Certificate Effective DateAugust 21, 2025

Certificate Expiration DateAugust 20, 2027

Laboratory DirectorGerry Lazzareschi MD

Laboratory Phone(707) 894-5862

Laboratory LocationCloverdale Health Care District -Ambulance209 North Main Street, Cloverdale, CA 95425

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.

6,528 services156 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.

217 services128 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.

61 services40 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 Cloverdale Hospital District Ambulance's NPI number?

The NPI number for Cloverdale Hospital District Ambulance is 1295886786. It was assigned to this organization in the NPPES registry on January 13, 2007. The provider is also known as Cloverdale Health Care District.

Where is Cloverdale Hospital District Ambulance located?

Cloverdale Hospital District Ambulance is located at 209 N Main St, Cloverdale, CA 95425. The listed phone number is (707) 894-5862.

What is Cloverdale Hospital District Ambulance's specialty?

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

Is Cloverdale Hospital District Ambulance enrolled in Medicare?

Yes. Cloverdale Hospital District Ambulance is registered in the Medicare PECOS enrollment system.

When is Cloverdale Hospital District Ambulance'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 (California, Ambulance Service Supplier) is due for revalidation by December 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 Cloverdale Hospital District Ambulance hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2170904) is associated with this NPI, valid through August 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 Cloverdale Hospital District Ambulance was last updated on September 23, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.