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SAND LAKE AMBULANCE, INC.
NPI 1629182076
Ambulance in West Sand Lake, NY

Active since August 19, 2006CLIA 33D2311317 · Waiver
3643 NY ROUTE 43, WEST SAND LAKE, NY 12196(518) 674-2221(518) 674-1096 Get Directions Write a Review

NPPES record last updated: May 22, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 22, 2023, Feb 18, 2021, Aug 22, 2020 (3 updates tracked since 2020).

About Sand Lake Ambulance, Inc. NPPES

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

SAND LAKE AMBULANCE, INC. (NPI 1629182076) is a healthcare organization registered as an ambulance in West Sand Lake, New York and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Hamish C Mcmillan, Opperations Manager, as its authorized official.

NPPES Registry Identity

NPI1629182076
Entity TypeOrganization
Primary Taxonomy341600000X
Legal Business NameSAND LAKE AMBULANCE, INC.
Location Address3643 NY ROUTE 43West Sand Lake, NY 12196
Mailing AddressPo Box 787Latham, NY 12110-0787 · (888) 603-2455 · Fax (518) 674-1096
Phone(518) 674-2221
Fax(518) 674-1096
Organization SubpartNo
Authorized OfficialHamish C McmillanOpperations Manager · (888) 603-2455
Enumeration DateAugust 19, 2006
Last NPPES UpdateMay 22, 20233 updates tracked since enumeration
NPPES CertifiedMay 22, 2023
✔ NPI 1629182076 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulanceTransportation Services
Taxonomy Code341600000X
License✔ Licensed in NY · 12260
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).
3643 NY ROUTE 43, West Sand Lake, NY 12196
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Other Identifiers 1

Medicaid01594325NY

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 33D2311317

Sand Lake Ambulance Inc · West Sand Lake, NY
Active · expires Mar 26, 2027
CLIA Number33D2311317
Laboratory TypeAmbulance
Certificate Effective DateSeptember 19, 2024
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Warren Hayashi
Laboratory Phone(518) 674-2221
Laboratory LocationSand Lake Ambulance Inc3643 Ny Rte 43, West Sand Lake, NY 12196
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.
1,599 services96 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.
70 services58 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.
61 services49 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 Sand Lake Ambulance, Inc.'s NPI number?

The NPI number for Sand Lake Ambulance, Inc. is 1629182076. It was assigned to this organization in the NPPES registry on August 19, 2006.

Where is Sand Lake Ambulance, Inc. located?

Sand Lake Ambulance, Inc. is located at 3643 Ny Route 43, West Sand Lake, NY 12196. The listed phone number is (518) 674-2221.

What is Sand Lake Ambulance, Inc.'s specialty?

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

Does Sand Lake Ambulance, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2311317) 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 Sand Lake Ambulance, Inc. was last updated on May 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.