LARKSVILLE COMMMUNITY AMBULANCE
NPI 1669468732
Ambulance - Land Transport in Larksville, PA

Q: What is Larksville Commmunity Ambulance's NPI number?

The NPI number for Larksville Commmunity Ambulance is 1669468732. It was assigned to this organization in the NPPES registry on September 23, 2005.

Q: What is Larksville Commmunity Ambulance's specialty?

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

Active since September 23, 2005

480 E STATE ST, LARKSVILLE, PA 18651(570) 779-4778(570) 779-4828 Get Directions Write a Review

NPPES record last updated: April 8, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Larksville Commmunity Ambulance NPPES

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

LARKSVILLE COMMMUNITY AMBULANCE (NPI 1669468732) is a healthcare organization registered as a land transport in Larksville, Pennsylvania and active in the NPI registry since September 2005. The organization lists Susan M Stevenson, Captain, as its authorized official.

NPPES Registry Identity

NPI1669468732

Entity TypeOrganization

Primary Taxonomy3416L0300X

Legal Business NameLARKSVILLE COMMMUNITY AMBULANCE

Location Address480 E STATE STLarksville, PA 18651-1407

Mailing AddressPo Box 207Allentown, PA 18105-0207 · (484) 664-2007 · Fax (484) 664-2015

Phone(570) 779-4778

Fax(570) 779-4828

Organization SubpartNo

Authorized OfficialSusan M StevensonCaptain · (570) 779-4828

Enumeration DateSeptember 23, 2005

Last NPPES UpdateApril 8, 2008

✔ NPI 1669468732 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulance · Land TransportTransportation Services

Taxonomy Code3416L0300X

License✔ Licensed in PA · 03372

480 E STATE ST, Larksville, PA 18651

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Other Identifiers 11

Other811529Umwa Health & Retirement

Other080816First Priority Health

OtherPB4425Acs Health Net Hmo Mdc

Medicare PIN122619PA

Other0471301Aetna Ushc Blue Bell Hmo

OtherPB4425Phs Health Plan Commercia

OtherPB4425Acs Health Net Commercial

OtherPB4425Qualmed

Other0015286200003Pa Medicaid

Other222759Bc Bs Of Pa Blue Shield

OtherPB4425Phs Health Plan Hmo Mdc

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Larksville Commmunity Ambulance 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 IDO20070328000191Non-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 39D2312283

Larksville Community Ambulance · Larksville, PA

Expired · Oct 7, 2026

CLIA Number39D2312283

Laboratory TypeAmbulance

Certificate Effective DateOctober 8, 2024

Certificate Expiration DateOctober 7, 2026

Laboratory DirectorSusan Stevenson

Laboratory Phone(570) 779-4778

Laboratory LocationLarksville Community Ambulance480 East State St, Larksville, PA 18651

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.

842 services85 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.

86 services52 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.

64 services48 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 Larksville Commmunity Ambulance's NPI number?

The NPI number for Larksville Commmunity Ambulance is 1669468732. It was assigned to this organization in the NPPES registry on September 23, 2005.

Where is Larksville Commmunity Ambulance located?

Larksville Commmunity Ambulance is located at 480 E State St, Larksville, PA 18651. The listed phone number is (570) 779-4778.

What is Larksville Commmunity Ambulance's specialty?

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

Is Larksville Commmunity Ambulance enrolled in Medicare?

Yes. Larksville Commmunity Ambulance is registered in the Medicare PECOS enrollment system.

When is Larksville Commmunity Ambulance'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.

When was this NPI record last updated?

The NPPES record for Larksville Commmunity Ambulance was last updated on April 8, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.