FELLOWS CLUB AMBULANCE SERVICE
NPI 1962422550
Ambulance - Land Transport in Conneautville, PA
- Organization
- Ambulance
- Land Transport
- CLIA Number: 39D2173674
- CLIA Cert. Type: Ambulance
- CLIA Exp. Date: 10-16-2027
About FELLOWS CLUB AMBULANCE SERVICE
This page provides the complete NPI Profile along with additional information for Fellows Club Ambulance Service, a provider established in Conneautville, Pennsylvania operating as a Ambulance, focusing in land transport . The healthcare provider is registered in the NPI registry with number 1962422550 assigned on July 2006. The practitioner's primary taxonomy code is 3416L0300X. The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's is doing business as Fellows Club Ambulance Service. The authorized official of this NPI record is Gerald F Carless (Treasurer/ambulance Chief)
- NPI
- 1962422550 Verify this NPI
- Provider Legal Name
- FELLOWS CLUB VOLUNTEER FIRE DEPT
- Other Organization Name
- FELLOWS CLUB AMBULANCE SERVICE
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1015 STRAWBERRY ALLEY CONNEAUTVILLE, PA 16406
- Location Phone
- (814) 587-2876
- Mailing Address
- PO BOX 305 CONNEAUTVILLE, PA 16406
- Mailing Phone
- (814) 587-2876
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-19-2006
- Last Update Date
- 06-21-2016
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Ambulance Land Transport
- Taxonomy Code
- 3416L0300X
- Type
- Transportation Services
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 336903 | OTHER (01) | PA | HEALTH AMERICA |
| 239414 | MEDICARE PIN (08) | ||
| 590010382 | MEDICARE PIN (08) | ||
| 50149 | OTHER (01) | PA | HEALTH ASSURANCE |
| 0015664520003 | OTHER (01) | PA | ION HEALTH |
| 0015664520003 | MEDICAID (05) | PA |
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Ambulance service, basic life support, emergency transport (bls-emergency)
Ground mileage, per statute mile
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.
This service was performed 17 times for 16 patientsGround 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.
This service was performed 382 times for 18 patientsCLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 39D2173674
- Facility Type
- Ambulance
- Certificate Effective Date
- October 17, 2025
- Certificate Expiration Date
- October 16, 2027
- Laboratory Director
- MICHELE L. LISK
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Fellows Club Ambulance Service to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for FELLOWS CLUB AMBULANCE SERVICE
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1962422550, enumerated as an "organization" on July 19, 2006.
The provider is located at 1015 STRAWBERRY ALLEY CONNEAUTVILLE, PA 16406 and the phone number is (814) 587-2876.
Ambulance with taxonomy code 3416L0300X and a focus in Land Transport.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
