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: July 19, 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
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

Other Identifiers 2

Medicaid0007191090001PA
Other590409135PA · United Healthcare Railroa

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 2024 & 2026 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

The NPI number assigned to this healthcare provider is 1710916556, enumerated as an "organization" on July 02, 2006.

The provider is located at 4 E SOUTH ST EVERETT, PA 15537 and the phone number is (814) 652-5822.

Ambulance with taxonomy code 3416L0300X and a focus in Land Transport.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.