1. Home
  2. Directory
  3. Pennsylvania
  4. Tionesta
  5. Ambulance
  6. NPI Profile

TIONESTA AMBULANCE SERVICE, INC
NPI 1730256173
Ambulance - Land Transport in Tionesta, PA

Active since November 29, 2006
648 ELM STREET, TIONESTA, PA 16353(814) 673-8095(724) 794-1633 Get Directions Write a Review

NPPES record last updated: August 19, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: May 28, 2019, Sep 27, 2018 (2 updates tracked since 2018).

About Tionesta Ambulance Service, Inc NPPES

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

TIONESTA AMBULANCE SERVICE, INC (NPI 1730256173) is a healthcare organization registered as a land transport in Tionesta, Pennsylvania and active in the NPI registry since November 2006. The organization lists Robert E Wagner, President, as its authorized official.

NPPES Registry Identity

NPI1730256173
Entity TypeOrganization
Primary Taxonomy3416L0300X
Legal Business NameTIONESTA AMBULANCE SERVICE, INC
Location Address648 ELM STREETTionesta, PA 16353-0157
Mailing AddressPo Box 157Tionesta, PA 16353-0157 · (814) 673-8095 · Fax (724) 794-1633
Phone(814) 673-8095
Fax(724) 794-1633
Organization SubpartNo
Authorized OfficialRobert E WagnerPresident · (814) 755-7726
Enumeration DateNovember 29, 2006
Last NPPES UpdateAugust 19, 20252 updates tracked since enumeration
NPPES CertifiedAugust 19, 2025
✔ NPI 1730256173 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulance · Land TransportTransportation Services
Taxonomy Code3416L0300X
648 ELM STREET, Tionesta, PA 16353
Open in Google Maps ↗

Other Identifiers 3

Medicaid0015664610003PA
Other590012708PA · Railroad Medicare
Other284296PA · Highmark

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tionesta 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 IDO20090814000101Non-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 39D2156966

Tionesta Ambulance Service, Inc · Tionesta, PA
Expired · Oct 28, 2026
CLIA Number39D2156966
Laboratory TypeAmbulance
Certificate Effective DateOctober 29, 2024
Certificate Expiration DateOctober 28, 2026
Laboratory DirectorRandy M. Boggess
Laboratory Phone(814) 755-3641
Laboratory LocationTionesta Ambulance Service, Inc648 Elm Street, Tionesta, PA 16353
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.
957 services30 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.
22 services19 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.
20 services15 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 Tionesta Ambulance Service, Inc's NPI number?

The NPI number for Tionesta Ambulance Service, Inc is 1730256173. It was assigned to this organization in the NPPES registry on November 29, 2006.

Where is Tionesta Ambulance Service, Inc located?

Tionesta Ambulance Service, Inc is located at 648 Elm Street, Tionesta, PA 16353. The listed phone number is (814) 673-8095.

What is Tionesta Ambulance Service, Inc's specialty?

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

Is Tionesta Ambulance Service, Inc enrolled in Medicare?

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

When is Tionesta 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.

When was this NPI record last updated?

The NPPES record for Tionesta Ambulance Service, Inc was last updated on August 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.