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MINOA AMBULANCE
NPI 1730148107
Ambulance in Minoa, NY

Active since March 22, 2006CLIA 33D1098952 · Waiver
240 N MAIN ST, MINOA, NY 13116(315) 656-3100(315) 656-0825 Get Directions Write a Review

NPPES record last updated: July 30, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 30, 2024, Apr 12, 2023, Sep 17, 2020 (3 updates tracked since 2020).

About Minoa Ambulance NPPES

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

MINOA AMBULANCE (NPI 1730148107) is a healthcare organization registered as an ambulance in Minoa, New York and active in the NPI registry since March 2006. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Lisa L Devona, Village Clerk, as its authorized official.

NPPES Registry Identity

NPI1730148107
Entity TypeOrganization
Primary Taxonomy341600000X
Legal Business NameVILLAGE OF MINOA
Location Address240 N MAIN STMinoa, NY 13116
Mailing AddressPo Box 535Baldwinsville, NY 13027-0535 · (315) 635-1789 · Fax (315) 635-3289
Phone(315) 656-3100
Fax(315) 656-0825
Organization SubpartNo
Authorized OfficialLisa L DevonaVillage Clerk · (315) 656-3100
Enumeration DateMarch 22, 2006
Last NPPES UpdateJuly 30, 20243 updates tracked since enumeration
NPPES CertifiedJuly 30, 2024
✔ NPI 1730148107 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulanceTransportation Services
Taxonomy Code341600000X
License✔ Licensed in NY · 12565
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).
240 N MAIN ST, Minoa, NY 13116
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Other Names 1

Doing Business AsMinoa Ambulance

Other Identifiers 2

Other590013295NY · Railroad Medicare
Medicaid01955600NY

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 33D1098952

Village Of Minoa Ambulance · Minoa, NY
Active · expires Mar 26, 2027
CLIA Number33D1098952
Laboratory TypeAmbulance
Certificate Effective DateMay 1, 2009
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Naveen B. Seth
Laboratory Phone(315) 656-6899
Laboratory LocationVillage Of Minoa Ambulance240 N Main Street, Minoa, NY 13116
CLIA data matches this NPI record on: Address Name
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.
3,693 services252 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.
187 services139 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.
180 services149 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 Village Of Minoa's NPI number?

The NPI number for Village Of Minoa is 1730148107. It was assigned to this organization in the NPPES registry on March 22, 2006. The provider is doing business as Minoa Ambulance.

Where is Village Of Minoa located?

Village Of Minoa is located at 240 N Main St, Minoa, NY 13116. The listed phone number is (315) 656-3100.

What is Village Of Minoa's specialty?

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

Does Village Of Minoa hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D1098952) 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 Village Of Minoa was last updated on July 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.