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SHIRLEY COMMUNITY AMBULANCE CORP
NPI 1922640655
Ambulance - Land Transport in Shirley, NY

Active since October 15, 2019CLIA 33D2324664 · Waiver
3 PLYMOUTH PL, SHIRLEY, NY 11967(631) 399-5380 Get Directions Write a Review

NPPES record last updated: June 28, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shirley Community Ambulance Corp NPPES

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

SHIRLEY COMMUNITY AMBULANCE CORP (NPI 1922640655) is a healthcare organization registered as a land transport in Shirley, New York and active in the NPI registry since October 2019. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists James Deutcsh, Chief, as its authorized official.

NPPES Registry Identity

NPI1922640655
Entity TypeOrganization
Primary Taxonomy3416L0300X
Legal Business NameSHIRLEY COMMUNITY AMBULANCE CORP
Location Address3 PLYMOUTH PLShirley, NY 11967-2265
Mailing AddressPo Box 72Shirley, NY 11967-0072 · (631) 399-5380
Phone(631) 399-5380
Organization SubpartNo
Authorized OfficialJames DeutcshChief · (631) 399-5380
Enumeration DateOctober 15, 2019
Last NPPES UpdateJune 28, 2022
NPPES CertifiedJune 28, 2022
✔ NPI 1922640655 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulance · Land TransportTransportation Services
Taxonomy Code3416L0300X
3 PLYMOUTH PL, Shirley, NY 11967
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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 33D2324664

Shirley Community Ambulance Corp · Shirley, NY
Active · expires Mar 26, 2027
CLIA Number33D2324664
Laboratory TypeAmbulance
Certificate Effective DateMay 29, 2025
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Joseph U. Artale
Laboratory Phone(631) 399-5380
Laboratory LocationShirley Community Ambulance Corp3 Plymouth Place, Shirley, NY 11967
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.
1,371 services106 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.
145 services94 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.
25 services22 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 Shirley Community Ambulance Corp's NPI number?

The NPI number for Shirley Community Ambulance Corp is 1922640655. It was assigned to this organization in the NPPES registry on October 15, 2019.

Where is Shirley Community Ambulance Corp located?

Shirley Community Ambulance Corp is located at 3 Plymouth Pl, Shirley, NY 11967. The listed phone number is (631) 399-5380.

What is Shirley Community Ambulance Corp's specialty?

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

Does Shirley Community Ambulance Corp hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2324664) 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 Shirley Community Ambulance Corp was last updated on June 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.