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INDIAN LAKE VOLUNTEER AMBULANCE CORP INC
NPI 1922394543
Ambulance - Land Transport in Indian Lake, NY

Active since June 22, 2011CLIA 33D2324986 · Waiver
105 PELON ROAD, INDIAN LAKE, NY 12842(518) 648-0095(518) 648-0095 Get Directions Write a Review

NPPES record last updated: October 28, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Indian Lake Volunteer Ambulance Corp Inc NPPES

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

INDIAN LAKE VOLUNTEER AMBULANCE CORP INC (NPI 1922394543) is a healthcare organization registered as a land transport in Indian Lake, New York and active in the NPI registry since June 2011. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Joshua B Wells, Operations Manager, as its authorized official.

NPPES Registry Identity

NPI1922394543
Entity TypeOrganization
Primary Taxonomy3416L0300X
Legal Business NameINDIAN LAKE VOLUNTEER AMBULANCE CORP INC
Location Address105 PELON ROADIndian Lake, NY 12842-0117
Mailing Address6231 Nys Rt 30Indian Lake, NY 12842-0039 · (518) 648-0095 · Fax (518) 648-0095
Phone(518) 648-0095
Fax(518) 648-0095
Organization SubpartNo
Authorized OfficialJoshua B WellsOperations Manager · (518) 796-0507
Enumeration DateJune 22, 2011
Last NPPES UpdateOctober 28, 2018
✔ NPI 1922394543 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulance · Land TransportTransportation Services
Taxonomy Code3416L0300X
License✔ Licensed in NY · 12170
105 PELON ROAD, Indian Lake, NY 12842
Open in Google Maps ↗

Other Identifiers 1

Medicaid03433790NY

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 33D2324986

Indian Lake Volunteer Ambulance Corps Inc · Indian Lake, NY
Active · expires Mar 26, 2027
CLIA Number33D2324986
Laboratory TypeAmbulance
Certificate Effective DateJune 4, 2025
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorBenjamin Katz
Laboratory Phone(518) 648-0095
Laboratory LocationIndian Lake Volunteer Ambulance Corps Inc105 Pelon Rd, Indian Lake, NY 12842
CLIA data matches this NPI record on: Address Name Phone
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.
3,283 services43 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.
35 services29 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.
20 services17 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 Indian Lake Volunteer Ambulance Corp Inc's NPI number?

The NPI number for Indian Lake Volunteer Ambulance Corp Inc is 1922394543. It was assigned to this organization in the NPPES registry on June 22, 2011.

Where is Indian Lake Volunteer Ambulance Corp Inc located?

Indian Lake Volunteer Ambulance Corp Inc is located at 105 Pelon Road, Indian Lake, NY 12842. The listed phone number is (518) 648-0095.

What is Indian Lake Volunteer Ambulance Corp Inc's specialty?

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

Does Indian Lake Volunteer Ambulance Corp Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2324986) 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 Indian Lake Volunteer Ambulance Corp Inc was last updated on October 28, 2018. 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.