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LAKE WINOLA FIRE COMPANY NO 1
NPI 1609900588
Ambulance - Land Transport in Factoryville, PA

Active since March 15, 2007CLIA 39D2173660 · Waiver
1204 SR 307, FACTORYVILLE, PA 18419(570) 378-2000(570) 378-3763 Get Directions Write a Review

NPPES record last updated: November 15, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lake Winola Fire Company No 1 NPPES

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

LAKE WINOLA FIRE COMPANY NO 1 (NPI 1609900588) is a healthcare organization registered as a land transport in Factoryville, Pennsylvania and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through October 16, 2027 and lists Daniel Williams, Vice President, as its authorized official.

NPPES Registry Identity

NPI1609900588
Entity TypeOrganization
Primary Taxonomy3416L0300X
Legal Business NameLAKE WINOLA FIRE COMPANY NO 1
Location Address1204 SR 307Factoryville, PA 18419-7880
Mailing AddressPo Box 73Lake Winola, PA 18625-0073 · (570) 378-2000 · Fax (570) 378-3763
Phone(570) 378-2000
Fax(570) 378-3763
Organization SubpartNo
Authorized OfficialDaniel WilliamsVice President · (570) 378-2000
Enumeration DateMarch 15, 2007
Last NPPES UpdateNovember 15, 2024
NPPES CertifiedNovember 15, 2024
✔ NPI 1609900588 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulance · Land TransportTransportation Services
Taxonomy Code3416L0300X
1204 SR 307, Factoryville, PA 18419
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Other Identifiers 1

Medicaid0011580290002PA

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 39D2173660

Lake Winola Fire Company · Lake Winola, PA
Active · expires Oct 16, 2027
CLIA Number39D2173660
Laboratory TypeAmbulance
Certificate Effective DateOctober 17, 2025
Certificate Expiration DateOctober 16, 2027
Laboratory DirectorCody J. Stanco
Laboratory Phone(570) 378-2000
Laboratory LocationLake Winola Fire Company1204 Sr 307, Lake Winola, PA 18625
CLIA data matches this NPI record on: Name 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.
791 services35 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.
28 services24 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.
22 services19 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 Lake Winola Fire Company No 1's NPI number?

The NPI number for Lake Winola Fire Company No 1 is 1609900588. It was assigned to this organization in the NPPES registry on March 15, 2007.

Where is Lake Winola Fire Company No 1 located?

Lake Winola Fire Company No 1 is located at 1204 Sr 307, Factoryville, PA 18419. The listed phone number is (570) 378-2000.

What is Lake Winola Fire Company No 1's specialty?

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

Does Lake Winola Fire Company No 1 hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D2173660) is associated with this NPI, valid through October 16, 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 Lake Winola Fire Company No 1 was last updated on November 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.