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KOSCIUSKO AMBULANCE SERVICES LLC
NPI 1780068122
Ambulance in Leesburg, IN

Active since July 15, 2015CLIA 15D0722964 · Waiver
34 E ARMSTRONG RD, LEESBURG, IN 46538(574) 269-1975(574) 453-4276 Get Directions Write a Review

NPPES record last updated: July 31, 2019. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Kosciusko Ambulance Services Llc NPPES

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

KOSCIUSKO AMBULANCE SERVICES LLC (NPI 1780068122) is a healthcare organization registered as an ambulance in Leesburg, Indiana and active in the NPI registry since July 2015. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists James P Wright, Vp Physician Business Services, as its authorized official.

NPPES Registry Identity

NPI1780068122
Entity TypeOrganization
Primary Taxonomy341600000X
Legal Business NameKOSCIUSKO AMBULANCE SERVICES LLC
Location Address34 E ARMSTRONG RDLeesburg, IN 46538-9368
Mailing AddressPo Box 689022Franklin, TN 37068-9022 · (615) 465-7000 · Fax (615) 628-6877
Phone(574) 269-1975
Fax(574) 453-4276
Organization SubpartNo
Authorized OfficialJames P WrightVp Physician Business Services · (615) 778-1502
Enumeration DateJuly 15, 2015
Last NPPES UpdateJuly 31, 2019
✔ NPI 1780068122 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulanceTransportation Services
Taxonomy Code341600000X
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).
34 E ARMSTRONG RD, Leesburg, IN 46538
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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 15D0722964

Kosciusko Ambulance Service LLC · Warsaw, IN
Active · expires Aug 31, 2026
CLIA Number15D0722964
Laboratory TypeAmbulance
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorAlicia M. Mediano
Laboratory Phone(574) 269-1975
Laboratory LocationKosciusko Ambulance Service LLC445 Anchorage Road, Warsaw, IN 46580
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 7

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.
20,126 services732 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.
636 services447 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.
239 services188 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.
230 services167 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.
177 services166 patients
Advanced life support, level 2 (als 2) A0433
Advanced Life Support Level 2 (ALS 2) is a medical service provided during emergencies. It involves advanced procedures like defibrillation, medication administration or endotracheal intubation by trained professionals to stabilize critical patients.
34 services34 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 Kosciusko Ambulance Services LLC's NPI number?

The NPI number for Kosciusko Ambulance Services LLC is 1780068122. It was assigned to this organization in the NPPES registry on July 15, 2015.

Where is Kosciusko Ambulance Services LLC located?

Kosciusko Ambulance Services LLC is located at 34 E Armstrong Rd, Leesburg, IN 46538. The listed phone number is (574) 269-1975.

What is Kosciusko Ambulance Services LLC's specialty?

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

Does Kosciusko Ambulance Services LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D0722964) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Kosciusko Ambulance Services LLC was last updated on July 31, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.