LIFENET OF NEW YORK
NPI 1073002820
Ambulance - Air Transport in Ticonderoga, NY

NPI Status: Active since May 08, 2018

Contact Information

1207 NYS ROUTE 9N
TICONDEROGA, NY
ZIP 12883
Phone: (315) 802-3670

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  • Organization
  • Ambulance
  • Air Transport
  • CLIA Number: 33D2188201
  • CLIA Cert. Type: Ambulance
  • CLIA Exp. Date: 03-26-2027

About LIFENET OF NEW YORK

This page provides the complete NPI Profile along with additional information for Lifenet Of New York, a provider established in Ticonderoga, New York operating as a Ambulance, focusing in air transport . The healthcare provider is registered in the NPI registry with number 1073002820 assigned on May 2018. The practitioner's primary taxonomy code is 3416A0800X with license number 0767 (NY). The provider is registered as an organization and their NPI record was last updated 7 years ago. The provider's is doing business as Lifenet Of New York. The authorized official of this NPI record is Sharon J Keck (Assistant Secretary)

NPI
1073002820
Provider Legal Name
ROCKY MOUNTAIN HOLDINGS, LLC
Other Organization Name
LIFENET OF NEW YORK
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1207 NYS ROUTE 9N TICONDEROGA, NY 12883
Location Phone
(315) 802-3670
Mailing Address
PO BOX 713362 CINCINNATI, OH 45271
Mailing Phone
(888) 636-4438
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
05-08-2018
Last Update Date
05-08-2018
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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 Air Transport

Taxonomy Code
3416A0800X
Type
Transportation Services
License No.
0767
License State
NY

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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SHARON J KECK

Authorized Official Title
ASSISTANT SECRETARY
Authorized Official Phone
(303) 792-7400

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
01653745MEDICAID (05)NY 

CLIA 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
33D2188201
Facility Type
Ambulance
Certificate Effective Date
July 14, 2020
Certificate Expiration Date
March 26, 2027
Laboratory Director
DR. WARREN HAYASHI
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Lifenet Of New York 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.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1073002820
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2014300484
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 4 + 3 + 0 + 0 + 4 + 8 + 4 + 24 = 50
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1073002820 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073002820, enumerated in the NPI registry as an "organization" on May 08, 2018

The provider is located at 1207 Nys Route 9n Ticonderoga, Ny 12883 and the phone number is (315) 802-3670

This medical organization specializes in Ambulance with taxonomy code 3416A0800X with a focus in Air Transport

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 33D2188201 for a "ambulance" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued 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..

This NPI record was last updated on May 08, 2018. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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