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POCONO MOUNTAIN REGIONAL EMERGENCY MEDICAL SERVICES, INC
NPI 1861481269
Ambulance - Land Transport in Tobyhanna, PA

Active since October 18, 2005CLIA 39D2136212 · Waiver
135 TEGAWITHA RD, TOBYHANNA, PA 18466(570) 839-8485(570) 839-0777 Get Directions Write a Review

NPPES record last updated: February 5, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Pocono Mountain Regional Emergency Medical Services, Inc NPPES

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

POCONO MOUNTAIN REGIONAL EMERGENCY MEDICAL SERVICES, INC (NPI 1861481269) is a healthcare organization registered as a land transport in Tobyhanna, Pennsylvania and active in the NPI registry since October 2005. The organization holds a CLIA Waiver certificate valid through September 5, 2027 and lists Denise Doremus, Operations Manager, as its authorized official.

NPPES Registry Identity

NPI1861481269
Entity TypeOrganization
Primary Taxonomy3416L0300X
Legal Business NamePOCONO MOUNTAIN REGIONAL EMERGENCY MEDICAL SERVICES, INC
Location Address135 TEGAWITHA RDTobyhanna, PA 18466-7796
Mailing AddressPo Box 207Allentown, PA 18105-0207 · (484) 664-2007 · Fax (484) 664-2015
Phone(570) 839-8485
Fax(570) 839-0777
Organization SubpartNo
Authorized OfficialDenise DoremusOperations Manager · (570) 350-0029
Enumeration DateOctober 18, 2005
Last NPPES UpdateFebruary 5, 2016
✔ NPI 1861481269 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulance · Land TransportTransportation Services
Taxonomy Code3416L0300X
135 TEGAWITHA RD, Tobyhanna, PA 18466
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Other Identifiers 9

Medicaid0019454900001PA
Other359501200Dept Of Labor Work Comp
Other1446752Bc Of Ne Pa
Medicare PIN590015629
Other20035568Amerihealth Mercy Hmo Dpa
Medicaid001945900003PA
Medicare PIN066040PA
Other816393First Priority Health
Other816393Bcne Contract Claims

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pocono Mountain Regional Emergency Medical Services, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by October 31, 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 IDO20050822001080Non-DME Part B · Ambulance Service SupplierDue dateOctober 31, 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 39D2136212

Pocono Mountain Regional Ems · Tobyhanna, PA
Active · expires Sep 5, 2027
CLIA Number39D2136212
Laboratory TypeAmbulance
Certificate Effective DateSeptember 6, 2025
Certificate Expiration DateSeptember 5, 2027
Laboratory DirectorDenise Doremus
Laboratory Phone(570) 839-8485
Laboratory LocationPocono Mountain Regional Ems135 Tegawith Road, Tobyhanna, PA 18466
CLIA data matches this NPI record on: 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.
18,810 services816 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.
595 services438 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.
273 services209 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.
256 services242 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.
24 services24 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 Pocono Mountain Regional Emergency Medical Services, Inc's NPI number?

The NPI number for Pocono Mountain Regional Emergency Medical Services, Inc is 1861481269. It was assigned to this organization in the NPPES registry on October 18, 2005.

Where is Pocono Mountain Regional Emergency Medical Services, Inc located?

Pocono Mountain Regional Emergency Medical Services, Inc is located at 135 Tegawitha Rd, Tobyhanna, PA 18466. The listed phone number is (570) 839-8485.

What is Pocono Mountain Regional Emergency Medical Services, Inc's specialty?

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

Is Pocono Mountain Regional Emergency Medical Services, Inc enrolled in Medicare?

Yes. Pocono Mountain Regional Emergency Medical Services, Inc is registered in the Medicare PECOS enrollment system.

When is Pocono Mountain Regional Emergency Medical Services, 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 October 31, 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 Pocono Mountain Regional Emergency Medical Services, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D2136212) is associated with this NPI, valid through September 5, 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 Pocono Mountain Regional Emergency Medical Services, Inc was last updated on February 5, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.