BELLWOOD RURAL FIRE DIST 5
NPI 1215016787
Ambulance - Land Transport in Bellwood, NE

NPI Status: Active since November 03, 2006

Contact Information

752 41ST ROAD
BELLWOOD, NE
ZIP 68624
Phone: (402) 538-4025
Fax: (402) 538-2079

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  • Organization
  • Ambulance
  • Land Transport
  • CLIA Number: 28D2057644
  • CLIA Cert. Type: Ambulance
  • CLIA Exp. Date: 04-18-2027

About BELLWOOD RURAL FIRE DIST 5

This page provides the complete NPI Profile along with additional information for Bellwood Rural Fire Dist 5, a provider established in Bellwood, Nebraska operating as a Ambulance, focusing in land transport . The healthcare provider is registered in the NPI registry with number 1215016787 assigned on November 2006. The practitioner's primary taxonomy code is 3416L0300X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Mr. Matthew Gangwish (Fire Chief)

NPI
1215016787
Provider Name
BELLWOOD RURAL FIRE DIST 5
Entity Type
Organization
Location Address
752 41ST ROAD BELLWOOD, NE 68624
Location Phone
(402) 538-4025
Location Fax
(402) 538-2079
Mailing Address
10802 FARNAM DR OMAHA, NE 68154
Mailing Phone
(877) 218-4392
Mailing Fax
(402) 538-2079
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-03-2006
Last Update Date
03-13-2024
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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

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

MR. MATTHEW GANGWISH

Authorized Official Title
FIRE CHIEF
Authorized Official Phone
(402) 641-1694

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)

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 16 times for 12 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 192 times for 12 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
28D2057644
Facility Type
Ambulance
Certificate Effective Date
April 19, 2025
Certificate Expiration Date
April 18, 2027
Laboratory Director
MR. BRIAN L. WILSON
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Bellwood Rural Fire Dist 5 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 BELLWOOD RURAL FIRE DIST 5

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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.
1215016787
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22250112716
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 2 + 5 + 0 + 1 + 1 + 2 + 7 + 1 + 6 + 24 = 53
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 53 = 77

The NPI number 1215016787 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 1215016787, enumerated in the NPI registry as an "organization" on November 03, 2006

The provider is located at 752 41st Road Bellwood, Ne 68624 and the phone number is (402) 538-4025

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, basic life support, emergency transport (bls-emergency) and Ground mileage, per statute mile.

The provider's CLIA number is 28D2057644 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 November 03, 2006. 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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