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BACK MOUNTAIN REGIONAL FIRE AND EMS INC
NPI 1578654778
Ambulance - Land Transport in Dallas, PA

Active since September 27, 2006CLIA 39D2334828 · Waiver
184 E CENTER HILL RD, DALLAS, PA 18612(570) 675-0636(570) 675-3883 Get Directions Write a Review

NPPES record last updated: June 13, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Back Mountain Regional Fire And Ems Inc NPPES

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

BACK MOUNTAIN REGIONAL FIRE AND EMS INC (NPI 1578654778) is a healthcare organization registered as a land transport in Dallas, Pennsylvania and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through December 1, 2027 and lists Mark Vanetten, President, as its authorized official.

NPPES Registry Identity

NPI1578654778
Entity TypeOrganization
Primary Taxonomy3416L0300X
Legal Business NameBACK MOUNTAIN REGIONAL FIRE AND EMS INC
Location Address184 E CENTER HILL RDDallas, PA 18612-1154
Mailing AddressPo Box 176Dallas, PA 18612-0176 · (570) 675-0636 · Fax (570) 675-3883
Phone(570) 675-0636
Fax(570) 675-3883
Organization SubpartNo
Authorized OfficialMark VanettenPresident · (570) 675-0636
Enumeration DateSeptember 27, 2006
Last NPPES UpdateJune 13, 2013
✔ NPI 1578654778 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulance · Land TransportTransportation Services
Taxonomy Code3416L0300X
184 E CENTER HILL RD, Dallas, PA 18612
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Other Identifiers 5

Other080036800PA · Federal Black Lung
Medicare PIN293290PA
Other338170PA · Health America
Medicaid0016641770001PA
Medicare PIN590012298

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 39D2334828

Back Mountain Regional Fire & Ems · Dallas, PA
Active · expires Dec 1, 2027
CLIA Number39D2334828
Laboratory TypeAmbulance
Certificate Effective DateDecember 2, 2025
Certificate Expiration DateDecember 1, 2027
Laboratory DirectorDr. Todd C. Daniello
Laboratory Phone(717) 380-9972
Laboratory LocationBack Mountain Regional Fire & Ems184 E Center Hill Rd, Dallas, PA 18612
CLIA data matches this NPI record on: Address
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.
6,276 services421 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.
334 services288 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.
223 services180 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 Back Mountain Regional Fire And Ems Inc's NPI number?

The NPI number for Back Mountain Regional Fire And Ems Inc is 1578654778. It was assigned to this organization in the NPPES registry on September 27, 2006.

Where is Back Mountain Regional Fire And Ems Inc located?

Back Mountain Regional Fire And Ems Inc is located at 184 E Center Hill Rd, Dallas, PA 18612. The listed phone number is (570) 675-0636.

What is Back Mountain Regional Fire And Ems Inc's specialty?

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

Does Back Mountain Regional Fire And Ems Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D2334828) is associated with this NPI, valid through December 1, 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 Back Mountain Regional Fire And Ems Inc was last updated on June 13, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.