1. Home
  2. Directory
  3. Pennsylvania
  4. Plymouth
  5. Ambulance
  6. NPI Profile

PLYMOUTH BOROUGH AMBULANCE ASSOC. INC.
NPI 1316097462
Ambulance in Plymouth, PA

Active since January 11, 2007CLIA 39D2179469 · Waiver
24 GAYLORD AVE, PLYMOUTH, PA 18651(570) 779-9878(570) 779-4666 Get Directions Write a Review

NPPES record last updated: November 9, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Plymouth Borough Ambulance Assoc. Inc. NPPES

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

PLYMOUTH BOROUGH AMBULANCE ASSOC. INC. (NPI 1316097462) is a healthcare organization registered as an ambulance in Plymouth, Pennsylvania and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through February 24, 2028 and lists Robert Miller, President, as its authorized official.

NPPES Registry Identity

NPI1316097462
Entity TypeOrganization
Primary Taxonomy341600000X
Legal Business NamePLYMOUTH BOROUGH AMBULANCE ASSOC. INC.
Location Address24 GAYLORD AVEPlymouth, PA 18651-2202
Mailing Address24 Gaylord AvePlymouth, PA 18651-2202 · (570) 779-9878 · Fax (570) 779-4666
Phone(570) 779-9878
Fax(570) 779-4666
Organization SubpartNo
Authorized OfficialRobert MillerPresident · (570) 779-4388
Enumeration DateJanuary 11, 2007
Last NPPES UpdateNovember 9, 2011
✔ NPI 1316097462 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulanceTransportation Services
Taxonomy Code341600000X
License✔ Licensed in PA · 04175
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).
24 GAYLORD AVE, Plymouth, PA 18651
Open in Google Maps ↗

Other Identifiers 13

Medicaid0019186260001PA
Other30013904PA · Keystone Mercy Hmo Dpa
OtherPA7879PA · Phs Health Plan Commercia
OtherPA7879PA · Phs Health Plan Hmo Mdc
Other2165244PA · Aetna Ushc Blue Bell Hmo
OtherPA7879PA · Acs Health Net Commercial
Medicare ID-Type Unspecified203159PA · Medicare Hgsa
OtherPA7879PA · Acs Health Net Hmo Mdc
OtherPA7879PA · Qualmed
Other590014556PA · United Hc Rr Medicare
Other201756PA · Bc Bs Of Pa Blue Shield
Other808300PA · First Priority Health
Other080026400PA · Federal Black Lung

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 39D2179469

Plymouth Borough Ambulance Association · Plymouth, PA
Active · expires Feb 24, 2028
CLIA Number39D2179469
Laboratory TypeAmbulance
Certificate Effective DateFebruary 25, 2026
Certificate Expiration DateFebruary 24, 2028
Laboratory DirectorJoseph E. Piszczek
Laboratory Phone(570) 779-9878
Laboratory LocationPlymouth Borough Ambulance Association24 Gaylord Avenue, Plymouth, PA 18651
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Plymouth Borough Ambulance Assoc. Inc.'s NPI number?

The NPI number for Plymouth Borough Ambulance Assoc. Inc. is 1316097462. It was assigned to this organization in the NPPES registry on January 11, 2007.

Where is Plymouth Borough Ambulance Assoc. Inc. located?

Plymouth Borough Ambulance Assoc. Inc. is located at 24 Gaylord Ave, Plymouth, PA 18651. The listed phone number is (570) 779-9878.

What is Plymouth Borough Ambulance Assoc. Inc.'s specialty?

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

Does Plymouth Borough Ambulance Assoc. Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D2179469) is associated with this NPI, valid through February 24, 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 Plymouth Borough Ambulance Assoc. Inc. was last updated on November 9, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.