THREE RIVERS AMBULANCE AUTHORITY
NPI 1861499139
Ambulance - Land Transport in Fort Wayne, IN

Q: What is Three Rivers Ambulance Authority's NPI number?

The NPI number for Three Rivers Ambulance Authority is 1861499139. It was assigned to this organization in the NPPES registry on July 1, 2005.

Q: What is Three Rivers Ambulance Authority's specialty?

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

Active since July 01, 2005CLIA 15D0883120 · Waiver

525 HAYDEN ST, FORT WAYNE, IN 46802(260) 420-6500 Get Directions Write a Review

NPPES record last updated: March 1, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Three Rivers Ambulance Authority NPPES

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

THREE RIVERS AMBULANCE AUTHORITY (NPI 1861499139) is a healthcare organization registered as a land transport in Fort Wayne, Indiana and active in the NPI registry since July 2005. The organization holds a CLIA Waiver certificate valid through February 24, 2028 and lists Joel Benz, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1861499139

Entity TypeOrganization

Primary Taxonomy3416L0300X

Legal Business NameTHREE RIVERS AMBULANCE AUTHORITY

Location Address525 HAYDEN STFort Wayne, IN 46802-3550

Mailing AddressPo Box 11724, 525 Hayden StFort Wayne, IN 46860-1724 · (260) 420-6500

Phone(260) 420-6500

Organization SubpartNo

Authorized OfficialJoel BenzExecutive Director · (260) 420-6500

Enumeration DateJuly 1, 2005

Last NPPES UpdateMarch 1, 2024

NPPES CertifiedMarch 1, 2024

✔ NPI 1861499139 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulance · Land TransportTransportation Services

Taxonomy Code3416L0300X

License✔ Licensed in IN · 0114

525 HAYDEN ST, Fort Wayne, IN 46802

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Other Identifiers 2

Other0114IN · State Ems Provider Cert

Medicaid100288230AIN

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 15D0883120

Three Rivers Ambulance Authority · Fort Wayne, IN

Active · expires Feb 24, 2028

CLIA Number15D0883120

Laboratory TypeOther

Certificate Effective DateFebruary 25, 2026

Certificate Expiration DateFebruary 24, 2028

Laboratory DirectorMichael S. Mann

Laboratory Phone(219) 420-6500

Laboratory LocationThree Rivers Ambulance Authority525 Hayden Stnton, Fort Wayne, IN 46802

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 6

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.

22,103 services2,339 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.

1,956 services1,291 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.

1,306 services1,007 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.

833 services618 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.

128 services112 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.

26 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 Three Rivers Ambulance Authority's NPI number?

The NPI number for Three Rivers Ambulance Authority is 1861499139. It was assigned to this organization in the NPPES registry on July 1, 2005.

Where is Three Rivers Ambulance Authority located?

Three Rivers Ambulance Authority is located at 525 Hayden St, Fort Wayne, IN 46802. The listed phone number is (260) 420-6500.

What is Three Rivers Ambulance Authority's specialty?

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

Does Three Rivers Ambulance Authority hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D0883120) is associated with this NPI, valid through February 24, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Three Rivers Ambulance Authority was last updated on March 1, 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.