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EVANS MILLS VOLUNTEER AMBULANCE SQUAD INC
NPI 1366530958
Ambulance - Land Transport in Evans Mills, NY

Active since October 10, 2006CLIA 33D2034160 · Waiver
8733 FACTORY ST, EVANS MILLS, NY 13637(315) 629-6081(315) 629-6088 Get Directions Write a Review

NPPES record last updated: April 17, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Evans Mills Volunteer Ambulance Squad Inc NPPES

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

EVANS MILLS VOLUNTEER AMBULANCE SQUAD INC (NPI 1366530958) is a healthcare organization registered as a land transport in Evans Mills, New York and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Kristen Gordon, President, as its authorized official.

NPPES Registry Identity

NPI1366530958
Entity TypeOrganization
Primary Taxonomy3416L0300X
Legal Business NameEVANS MILLS VOLUNTEER AMBULANCE SQUAD INC
Location Address8733 FACTORY STEvans Mills, NY 13637-0113
Mailing AddressPo Box 535Baldwinsville, NY 13027-0535 · (315) 635-1789 · Fax (315) 635-3289
Phone(315) 629-6081
Fax(315) 629-6088
Organization SubpartNo
Authorized OfficialKristen GordonPresident · (315) 629-6081
Enumeration DateOctober 10, 2006
Last NPPES UpdateApril 17, 2015
✔ NPI 1366530958 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulance · Land TransportTransportation Services
Taxonomy Code3416L0300X
License✔ Licensed in NY · 31377
8733 FACTORY ST, Evans Mills, NY 13637
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Other Identifiers 2

Medicaid01391804NY
Medicare PIN52323BNY

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 33D2034160

Evans Mills Volunteer Ambulance Squad Inc · Evans Mills, NY
Active · expires Mar 26, 2027
CLIA Number33D2034160
Laboratory TypeAmbulance
Certificate Effective DateDecember 19, 2011
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Maja Lundborg-Gray
Laboratory Phone(315) 629-6081
Laboratory LocationEvans Mills Volunteer Ambulance Squad Inc8733 Factory Street, Evans Mills, NY 13637
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EVANS MILLS VOLUNTEER AMBULANCE SQUAD INCORPORATED
Ambulance (Land Transport)
8733 FACTORY ST
EVANS MILLS, NY 13637
Jefferson County (315) 629-6081

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 Evans Mills Volunteer Ambulance Squad Inc's NPI number?

The NPI number for Evans Mills Volunteer Ambulance Squad Inc is 1366530958. It was assigned to this organization in the NPPES registry on October 10, 2006.

Where is Evans Mills Volunteer Ambulance Squad Inc located?

Evans Mills Volunteer Ambulance Squad Inc is located at 8733 Factory St, Evans Mills, NY 13637. The listed phone number is (315) 629-6081.

What is Evans Mills Volunteer Ambulance Squad Inc's specialty?

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

Does Evans Mills Volunteer Ambulance Squad Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2034160) is associated with this NPI, valid through March 26, 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 Evans Mills Volunteer Ambulance Squad Inc was last updated on April 17, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.