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LAIRDSVILLE COMMUNITY VOL FIRE CO
NPI 1679550917
Ambulance in Lairdsville, PA

Active since December 28, 2005CLIA 39D2143424 · Waiver
143 SCHOOL LANE, LAIRDSVILLE, PA 17742(570) 584-2605(570) 329-4947 Get Directions Write a Review

NPPES record last updated: November 14, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lairdsville Community Vol Fire Co NPPES

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

LAIRDSVILLE COMMUNITY VOL FIRE CO (NPI 1679550917) is a healthcare organization registered as an ambulance in Lairdsville, Pennsylvania and active in the NPI registry since December 2005. The organization holds a CLIA Waiver certificate valid through January 29, 2028 and lists Mary Gentile, Authorized Agent, as its authorized official.

NPPES Registry Identity

NPI1679550917
Entity TypeOrganization
Primary Taxonomy341600000X
Legal Business NameLAIRDSVILLE COMMUNITY VOL FIRE CO
Location Address143 SCHOOL LANELairdsville, PA 17742-0034
Mailing AddressPo Box 290184Wethersfield, CT 06129-0184 · (800) 452-8191 · Fax (860) 721-6362
Phone(570) 584-2605
Fax(570) 329-4947
Organization SubpartNo
Authorized OfficialMary GentileAuthorized Agent · (800) 452-8191
Enumeration DateDecember 28, 2005
Last NPPES UpdateNovember 14, 2016
✔ NPI 1679550917 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulanceTransportation Services
Taxonomy Code341600000X
License✔ Licensed in PA · 04128
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).
143 SCHOOL LANE, Lairdsville, PA 17742
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Other Identifiers 2

Medicaid000784448 0001PA
Medicare PIN076885PA

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 39D2143424

Lairdsville Community Volunteer Fire Company & Ambulance · Lairdsville, PA
Active · expires Jan 29, 2028
CLIA Number39D2143424
Laboratory TypeAmbulance
Certificate Effective DateJanuary 30, 2026
Certificate Expiration DateJanuary 29, 2028
Laboratory DirectorCarl L. Shaner
Laboratory Phone(570) 584-2605
Laboratory LocationLairdsville Community Volunteer Fire Company & Ambulance143 School Lane, Lairdsville, PA 17742
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Lairdsville Community Vol Fire Co's NPI number?

The NPI number for Lairdsville Community Vol Fire Co is 1679550917. It was assigned to this organization in the NPPES registry on December 28, 2005.

Where is Lairdsville Community Vol Fire Co located?

Lairdsville Community Vol Fire Co is located at 143 School Lane, Lairdsville, PA 17742. The listed phone number is (570) 584-2605.

What is Lairdsville Community Vol Fire Co's specialty?

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

Does Lairdsville Community Vol Fire Co hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D2143424) is associated with this NPI, valid through January 29, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Lairdsville Community Vol Fire Co was last updated on November 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.