COVENTRY EMERGENCY SQUAD, INC.
NPI 1477824969
Ambulance - Land Transport in Greene, NY

Active since January 16, 2012CLIA 33D2307533 · Waiver
109 NORTH RD, GREENE, NY 13778(607) 371-1141 Get Directions Write a Review

NPPES record last updated: January 16, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Coventry Emergency Squad, Inc. NPPES

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

COVENTRY EMERGENCY SQUAD, INC. (NPI 1477824969) is a healthcare organization registered as a land transport in Greene, New York and active in the NPI registry since January 2012. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Kyle Wearne, President, as its authorized official.

NPPES Registry Identity

NPI1477824969
Entity TypeOrganization
Primary Taxonomy3416L0300X
Legal Business NameCOVENTRY EMERGENCY SQUAD, INC.
Location Address109 NORTH RDGreene, NY 13778-2377
Mailing Address109 North RdGreene, NY 13778-2377 · (607) 371-1141
Organization SubpartNo
Authorized OfficialKyle WearnePresident · (607) 371-1141
Enumeration DateJanuary 16, 2012
✔ NPI 1477824969 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 · 30300
109 NORTH RD, Greene, NY 13778

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Coventry Emergency Squad, Inc. 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
StateNew YorkEnrollment IDO20120504000163Non-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 33D2307533

Coventry Emergency Squad Inc · Greene, NY
Active · expires Mar 26, 2027
CLIA Number33D2307533
Laboratory TypeAmbulance
Certificate Effective DateJuly 10, 2024
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Martin C. Masarech
Laboratory Phone(607) 656-4060
Laboratory LocationCoventry Emergency Squad Inc109 North Rd, Greene, NY 13778
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims

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.
434 services12 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 Coventry Emergency Squad, Inc.'s NPI number?

The NPI number for Coventry Emergency Squad, Inc. is 1477824969. It was assigned to this organization in the NPPES registry on January 16, 2012.

Where is Coventry Emergency Squad, Inc. located?

Coventry Emergency Squad, Inc. is located at 109 North Rd, Greene, NY 13778. The listed phone number is (607) 371-1141.

What is Coventry Emergency Squad, Inc.'s specialty?

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

Is Coventry Emergency Squad, Inc. enrolled in Medicare?

Yes. Coventry Emergency Squad, Inc. is registered in the Medicare PECOS enrollment system.

When is Coventry Emergency Squad, Inc.'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 (New York, 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 Coventry Emergency Squad, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2307533) 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 Coventry Emergency Squad, Inc. was last updated on January 16, 2012. 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.