GREENWOOD LAKE AMBULANCE, INC.
NPI 1093049504
Ambulance - Land Transport in Greenwood Lake, NY
NPI Status: Active since September 30, 2009
Contact Information
74 WINDERMERE AVE
GREENWOOD LAKE, NY
ZIP 10925
Phone: (845) 477-2200
- Organization
- Ambulance
- Land Transport
- CLIA Number: 33D2011866
- CLIA Cert. Type: Ambulance
- CLIA Exp. Date: 03-26-2027
About GREENWOOD LAKE AMBULANCE, INC.
This page provides the complete NPI Profile along with additional information for Greenwood Lake Ambulance, Inc., a provider established in Greenwood Lake, New York operating as a Ambulance, focusing in land transport . The healthcare provider is registered in the NPI registry with number 1093049504 assigned on September 2009. The practitioner's primary taxonomy code is 3416L0300X with license number 03520 (NY). The provider is registered as an organization and their NPI record was last updated 16 years ago. The authorized official of this NPI record is Ms. Eileen C Diffley (President)
- NPI
- 1093049504
- Provider Name
- GREENWOOD LAKE AMBULANCE, INC.
- Entity Type
- Organization
- Location Address
- 74 WINDERMERE AVE GREENWOOD LAKE, NY 10925
- Location Phone
- (845) 477-2200
- Mailing Address
- 74 WINDERMERE AVE P.O. BOX 223 GREENWOOD LAKE, NY 10925
- Mailing Phone
- (845) 477-2200
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-30-2009
- Last Update Date
- 09-30-2009
- 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
- License No.
- 03520
- License State
- 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
- 33D2011866
- Facility Type
- Ambulance
- Certificate Effective Date
- August 24, 2010
- Certificate Expiration Date
- March 26, 2027
- Laboratory Director
- DR. FRED S. REVOREDO
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Greenwood Lake Ambulance, Inc. 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. | |||||||||
| 1 | 0 | 9 | 3 | 0 | 4 | 9 | 5 | 0 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 18 | 3 | 0 | 4 | 18 | 5 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 1 + 8 + 3 + 0 + 4 + 1 + 8 + 5 + 0 + 24 = 56 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 56 = 4 | 4 | ||||||||
The NPI number 1093049504 is valid because the calculated check digit 4 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 1093049504, enumerated in the NPI registry as an "organization" on September 30, 2009
The provider is located at 74 Windermere Ave Greenwood Lake, Ny 10925 and the phone number is (845) 477-2200
This medical organization specializes in Ambulance with taxonomy code 3416L0300X with a focus in Land Transport
The provider's CLIA number is 33D2011866 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 September 30, 2009. 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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