HELDERBERG AMBULANCE SQUAD INC
NPI 1124018502
Ambulance in East Berne, NY

NPI Status: Active since October 26, 2005

Contact Information

ROUTE 443 MAIN STREET
EAST BERNE, NY
ZIP 12059
Phone: (518) 872-9111
Fax: (518) 872-2543

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  • Organization
  • Ambulance
  • CLIA Number: 33D2298879
  • CLIA Cert. Type: Ambulance
  • CLIA Exp. Date: 03-26-2027

About HELDERBERG AMBULANCE SQUAD INC

This page provides the complete NPI Profile along with additional information for Helderberg Ambulance Squad Inc, a provider established in East Berne, New York operating as a Ambulance. The healthcare provider is registered in the NPI registry with number 1124018502 assigned on October 2005. The practitioner's primary taxonomy code is 341600000X with license number 0118 (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. Mary T Gentile (Authorized Agent)

NPI
1124018502
Provider Name
HELDERBERG AMBULANCE SQUAD INC
Entity Type
Organization
Location Address
ROUTE 443 MAIN STREET EAST BERNE, NY 12059
Location Phone
(518) 872-9111
Location Fax
(518) 872-2543
Mailing Address
PO BOX 290184 WETHERSFIELD, CT 06129
Mailing Phone
(860) 257-9201
Mailing Fax
(518) 872-2543
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-26-2005
Last Update Date
06-03-2009
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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

Taxonomy Code
341600000X
Type
Transportation Services
License No.
0118
License State
NY
Taxonomy Description
An emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane).

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

MS. MARY T GENTILE

Authorized Official Title
AUTHORIZED AGENT
Authorized Official Phone
(860) 257-7080

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
590009553OTHER (01)NYRAILROAD
01581837MEDICAID (05)NY 
55708BMEDICARE PIN (08)NY 

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 12 times for 11 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 29 times for 19 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 850 times for 28 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
33D2298879
Facility Type
Ambulance
Certificate Effective Date
February 09, 2024
Certificate Expiration Date
March 26, 2027
Laboratory Director
DR. MICHAEL W. DAILEY
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Helderberg Ambulance Squad 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.

Reviews for HELDERBERG AMBULANCE SQUAD INC

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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.
1124018502
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2144011650
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 4 + 4 + 0 + 1 + 1 + 6 + 5 + 0 + 24 = 48
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 48 = 22

The NPI number 1124018502 is valid because the calculated check digit 2 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 1124018502, enumerated in the NPI registry as an "organization" on October 26, 2005

The provider is located at Route 443 Main Street East Berne, Ny 12059 and the phone number is (518) 872-9111

This medical organization specializes in Ambulance with taxonomy code 341600000X

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 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 33D2298879 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 October 26, 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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