FELLOWS CLUB AMBULANCE SERVICE
NPI 1962422550
Ambulance - Land Transport in Conneautville, PA

Q: What is Fellows Club Volunteer Fire Dept's NPI number?

The NPI number for Fellows Club Volunteer Fire Dept is 1962422550. It was assigned to this organization in the NPPES registry on July 19, 2006. The provider is doing business as Fellows Club Ambulance Service.

Q: What is Fellows Club Volunteer Fire Dept's specialty?

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

Active since July 19, 2006CLIA 39D2173674 · Waiver

1015 STRAWBERRY ALLEY, CONNEAUTVILLE, PA 16406(814) 587-2876 Get Directions Write a Review

NPPES record last updated: June 21, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Fellows Club Ambulance Service NPPES

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

FELLOWS CLUB AMBULANCE SERVICE (NPI 1962422550) is a healthcare organization registered as a land transport in Conneautville, Pennsylvania and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through October 16, 2027 and lists Gerald F Carless, Treasurer/ambulance Chief, as its authorized official.

NPPES Registry Identity

NPI1962422550

Entity TypeOrganization

Primary Taxonomy3416L0300X

Legal Business NameFELLOWS CLUB VOLUNTEER FIRE DEPT

Location Address1015 STRAWBERRY ALLEYConneautville, PA 16406

Mailing AddressPo Box 305Conneautville, PA 16406-0305 · (814) 587-2876

Phone(814) 587-2876

Organization SubpartNo

Authorized OfficialGerald F CarlessTreasurer/ambulance Chief · (814) 587-2876

Enumeration DateJuly 19, 2006

Last NPPES UpdateJune 21, 2016

✔ NPI 1962422550 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulance · Land TransportTransportation Services

Taxonomy Code3416L0300X

1015 STRAWBERRY ALLEY, Conneautville, PA 16406

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Other Names 1

Doing Business AsFellows Club Ambulance Service

Other Identifiers 6

Other336903PA · Health America

Medicare PIN239414

Medicare PIN590010382

Other50149PA · Health Assurance

Other0015664520003PA · Ion Health

Medicaid0015664520003PA

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 39D2173674

Fellows Club Ambulance Service · Conneautville, PA

Active · expires Oct 16, 2027

CLIA Number39D2173674

Laboratory TypeAmbulance

Certificate Effective DateOctober 17, 2025

Certificate Expiration DateOctober 16, 2027

Laboratory DirectorMichele L. Lisk

Laboratory Phone(814) 587-2876

Laboratory LocationFellows Club Ambulance Service1015 Strawberry Ally, Conneautville, PA 16406

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 2

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.

626 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.

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 Fellows Club Volunteer Fire Dept's NPI number?

The NPI number for Fellows Club Volunteer Fire Dept is 1962422550. It was assigned to this organization in the NPPES registry on July 19, 2006. The provider is doing business as Fellows Club Ambulance Service.

Where is Fellows Club Volunteer Fire Dept located?

Fellows Club Volunteer Fire Dept is located at 1015 Strawberry Alley, Conneautville, PA 16406. The listed phone number is (814) 587-2876.

What is Fellows Club Volunteer Fire Dept's specialty?

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

Does Fellows Club Volunteer Fire Dept hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D2173674) is associated with this NPI, valid through October 16, 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 Fellows Club Volunteer Fire Dept was last updated on June 21, 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.