LOYALSOCK VOLUNTEER FIRE COMPANY NUMBER ONE
NPI 1427033398
Ambulance in Williamsport, PA

Active since December 13, 2005CLIA 39D2076670 · Waiver
715 NORTHWAY RD, WILLIAMSPORT, PA 17701(570) 323-3603(570) 323-5060 Get Directions Write a Review

NPPES record last updated: November 6, 2014. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Loyalsock Volunteer Fire Company Number One NPPES

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

LOYALSOCK VOLUNTEER FIRE COMPANY NUMBER ONE (NPI 1427033398) is a healthcare organization registered as an ambulance in Williamsport, Pennsylvania and active in the NPI registry since December 2005. The organization holds a CLIA Waiver certificate valid through September 14, 2027 and lists Michael C Minnier, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1427033398
Entity TypeOrganization
Primary Taxonomy341600000X
Legal Business NameLOYALSOCK VOLUNTEER FIRE COMPANY NUMBER ONE
Location Address715 NORTHWAY RDWilliamsport, PA 17701-3813
Mailing Address700 High StWilliamsport, PA 17701-3100 · (570) 321-3032 · Fax (570) 321-2263
Fax(570) 323-5060
Organization SubpartNo
Authorized OfficialMichael C MinnierAuthorized Official · (570) 323-3603
Enumeration DateDecember 13, 2005
Last NPPES UpdateNovember 6, 2014
✔ NPI 1427033398 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulanceTransportation Services
Taxonomy Code341600000X
License✔ Licensed in PA · 06012
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).
715 NORTHWAY RD, Williamsport, PA 17701

Other Identifiers 3

Medicaid0007038980002PA
Medicare PIN281248PA
Other590145024PA · Railroad

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Loyalsock Volunteer Fire Company Number One 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 IDO20090715000250Non-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 39D2076670

Loyalsock Volunteer Fire Company No 1 · Williamsport, PA
Active · expires Sep 14, 2027
CLIA Number39D2076670
Laboratory TypeAmbulance
Certificate Effective DateSeptember 15, 2025
Certificate Expiration DateSeptember 14, 2027
Laboratory DirectorMatthew Messa
Laboratory Phone(570) 323-3603
Laboratory LocationLoyalsock Volunteer Fire Company No 1715 Northway Road, Williamsport, PA 17701
CLIA data matches this NPI record on: Address 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.
3,599 services460 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.
566 services369 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.
212 services164 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 Loyalsock Volunteer Fire Company Number One's NPI number?

The NPI number for Loyalsock Volunteer Fire Company Number One is 1427033398. It was assigned to this organization in the NPPES registry on December 13, 2005.

Where is Loyalsock Volunteer Fire Company Number One located?

Loyalsock Volunteer Fire Company Number One is located at 715 Northway Rd, Williamsport, PA 17701. The listed phone number is (570) 323-3603.

What is Loyalsock Volunteer Fire Company Number One's specialty?

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

Is Loyalsock Volunteer Fire Company Number One enrolled in Medicare?

Yes. Loyalsock Volunteer Fire Company Number One is registered in the Medicare PECOS enrollment system.

When is Loyalsock Volunteer Fire Company Number One'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 Loyalsock Volunteer Fire Company Number One hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D2076670) is associated with this NPI, valid through September 14, 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 Loyalsock Volunteer Fire Company Number One was last updated on November 6, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.