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RAYSTOWN AMBULANCE SERVICE INC
NPI 1710916556
Ambulance - Land Transport in Everett, PA

Active since July 02, 2006CLIA 39D0912966 · Waiver
4 E SOUTH ST, EVERETT, PA 15537(814) 652-5822(724) 615-1448 Get Directions Write a Review

NPPES record last updated: February 23, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 7, 2025, Nov 12, 2020, Jun 29, 2016 (3 updates tracked since 2016).

About Raystown Ambulance Service Inc NPPES

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

RAYSTOWN AMBULANCE SERVICE INC (NPI 1710916556) is a healthcare organization registered as a land transport in Everett, Pennsylvania and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through March 17, 2028 and lists Jeffrey R Sipes, President, as its authorized official.

NPPES Registry Identity

NPI1710916556
Entity TypeOrganization
Primary Taxonomy3416L0300X
Legal Business NameRAYSTOWN AMBULANCE SERVICE INC
Location Address4 E SOUTH STEverett, PA 15537-1222
Mailing AddressPo Box 18537Pleasant Hills, PA 15236-0537 · (800) 240-6365 · Fax (724) 615-1448
Phone(814) 652-5822
Fax(724) 615-1448
Organization SubpartNo
Authorized OfficialJeffrey R SipesPresident · (814) 652-6018
Enumeration DateJuly 2, 2006
Last NPPES UpdateFebruary 23, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 23, 2026
✔ NPI 1710916556 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAmbulance · Land TransportTransportation Services
Taxonomy Code3416L0300X
Also ListedAmbulanceTaxonomy 341600000X · License 03228 (PA)
4 E SOUTH ST, Everett, PA 15537
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Other Identifiers 2

Medicaid0007191090001PA
Other590409135PA · United Healthcare Railroa

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Raystown Ambulance Service Inc 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 IDO20061013000416Non-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 39D0912966

Raystown Amb Service · Everett, PA
Active · expires Mar 17, 2028
CLIA Number39D0912966
Laboratory TypeMobile Laboratory
Certificate Effective DateMarch 18, 2026
Certificate Expiration DateMarch 17, 2028
Laboratory DirectorSam S. Gordon
Laboratory Phone(814) 652-6018
Laboratory LocationRaystown Amb Service4 East South Street, Everett, PA 15537
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 5

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.
7,199 services243 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.
125 services93 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.
118 services103 patients
Ambulance service, basic life support, non-emergency transport, (bls) A0428
Basic Life Support (BLS) non-emergency ambulance service provides safe transportation for patients who don't need immediate medical attention. It includes monitoring vital signs, ensuring comfort, and administering basic care during transport.
92 services76 patients
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) A0426
Ambulance Service, Advanced Life Support, Non-Emergency Transport, Level 1 (ALS 1) is a medical transportation service for patients who don't have an immediate life-threatening condition but require advanced medical monitoring or interventions during the journey.
29 services29 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 Raystown Ambulance Service Inc's NPI number?

The NPI number for Raystown Ambulance Service Inc is 1710916556. It was assigned to this organization in the NPPES registry on July 2, 2006.

Where is Raystown Ambulance Service Inc located?

Raystown Ambulance Service Inc is located at 4 E South St, Everett, PA 15537. The listed phone number is (814) 652-5822.

What is Raystown Ambulance Service Inc's specialty?

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

Is Raystown Ambulance Service Inc enrolled in Medicare?

Yes. Raystown Ambulance Service Inc is registered in the Medicare PECOS enrollment system.

When is Raystown Ambulance Service Inc'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.

Does Raystown Ambulance Service Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D0912966) is associated with this NPI, valid through March 17, 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 Raystown Ambulance Service Inc was last updated on February 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.