JACOBUS LIONS AMBULANCE CLUB
NPI 1114925997
Ambulance - Land Transport in Jacobus, PA

NPI Status: Active since July 14, 2005

Contact Information

18 S MAIN ST
JACOBUS, PA
ZIP 17407
Phone: (717) 428-0218
Fax: (717) 428-3259

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  • Organization
  • Ambulance
  • Land Transport
  • CLIA Number: 39D2136770
  • CLIA Cert. Type: Ambulance
  • CLIA Exp. Date: 09-14-2025

About JACOBUS LIONS AMBULANCE CLUB

This page provides the complete NPI Profile along with additional information for Jacobus Lions Ambulance Club, a provider established in Jacobus, Pennsylvania operating as a Ambulance, focusing in land transport . The healthcare provider is registered in the NPI registry with number 1114925997 assigned on July 2005. The practitioner's primary taxonomy code is 3416L0300X with license number 02228 (PA). The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Bill Ream (Captain)

NPI
1114925997
Provider Name
JACOBUS LIONS AMBULANCE CLUB
Entity Type
Organization
Location Address
18 S MAIN ST JACOBUS, PA 17407
Location Phone
(717) 428-0218
Location Fax
(717) 428-3259
Mailing Address
PO BOX 726 NEW CUMBERLAND, PA 17070
Mailing Phone
(717) 214-6018
Mailing Fax
(717) 428-3259
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-14-2005
Last Update Date
08-22-2020
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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 Land Transport

Taxonomy Code
3416L0300X
Type
Transportation Services
License No.
02228
License State
PA

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

BILL REAM

Authorized Official Title
CAPTAIN
Authorized Official Phone
(717) 428-0218

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, advanced life support, emergency transport, level 1 (als 1 - emergency)

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.

This service was performed 153 times for 134 patients

Ambulance service, basic life support, emergency transport (bls-emergency)

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 163 times for 128 patients

Ground mileage, per statute mile

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.

This service was performed 1,940 times for 246 patients

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
39D2136770
Facility Type
Ambulance
Certificate Effective Date
September 15, 2023
Certificate Expiration Date
September 14, 2025
Laboratory Director
THOMAS R. WESTENBERGER
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Jacobus Lions Ambulance Club 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.
1114925997
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
212418210918
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 2 + 4 + 1 + 8 + 2 + 1 + 0 + 9 + 1 + 8 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1114925997 is valid because the calculated check digit 7 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 1114925997, enumerated in the NPI registry as an "organization" on July 14, 2005

The provider is located at 18 S Main St Jacobus, Pa 17407 and the phone number is (717) 428-0218

This medical organization specializes in Ambulance with taxonomy code 3416L0300X with a focus in Land Transport

The most common procedures or services performed by this practitioner are: Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency), Ambulance service, basic life support, emergency transport (bls-emergency) and Ground mileage, per statute mile.

The provider's CLIA number is 39D2136770 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 July 14, 2005. 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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