CITY OF DALLAS AMBULANCE SVC
NPI 1235132689
Ambulance - Land Transport in Dallas, OR

NPI Status: Active since May 31, 2005

Contact Information

187 SE COURT ST
DALLAS, OR
ZIP 97338
Phone: (503) 831-3533
Fax: (503) 623-7352

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  • Organization
  • Ambulance
  • Land Transport
  • CLIA Number: 38D0695225
  • CLIA Cert. Type: Ambulance
  • CLIA Exp. Date: 12-31-2025

About CITY OF DALLAS AMBULANCE SVC

This page provides the complete NPI Profile along with additional information for City Of Dallas Ambulance Svc, a provider established in Dallas, Oregon operating as a Ambulance, focusing in land transport . The healthcare provider is registered in the NPI registry with number 1235132689 assigned on May 2005. The practitioner's primary taxonomy code is 3416L0300X with license number 2701-05 (OR). The provider is registered as an organization and their NPI record was last updated 9 years ago. The provider's other name is City Of Dallas Ambulance Svc. The authorized official of this NPI record is Mr. Todd Brumfield (Ems Director)

NPI
1235132689
Provider Legal Name
CITY OF DALLAS
Other Organization Name
CITY OF DALLAS AMBULANCE SVC
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
187 SE COURT ST DALLAS, OR 97338
Location Phone
(503) 831-3533
Location Fax
(503) 623-7352
Mailing Address
PO BOX 3510 SILVERDALE, WA 98383
Mailing Phone
(360) 394-7010
Mailing Fax
(503) 623-7352
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-31-2005
Last Update Date
11-07-2016
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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.
2701-05
License State
OR

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.

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

MR. TODD BRUMFIELD

Authorized Official Title
EMS DIRECTOR
Authorized Official Phone
(503) 831-3537

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
R0000RGBCPMEDICARE PIN (08)OR 
756590275OTHER (01)ORRAILROAD MEDICARE PIN
045153MEDICAID (05)OR 

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 280 times for 212 patients

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

Ambulance Service, Advanced Life Support, Non-Emergency Transport, Level 1 (ALS 1) is a medical transportation service for patients who don't have an immediate life-threatening condition but require advanced medical monitoring or interventions during the journey.

This service was performed 45 times for 45 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 167 times for 129 patients

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

Basic Life Support (BLS) non-emergency ambulance service provides safe transportation for patients who don't need immediate medical attention. It includes monitoring vital signs, ensuring comfort, and administering basic care during transport.

This service was performed 51 times for 49 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 7,296 times for 366 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
38D0695225
Facility Type
Ambulance
Certificate Effective Date
January 01, 2024
Certificate Expiration Date
December 31, 2025
Laboratory Director
KIMBERLY STORMS
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to City Of Dallas Ambulance Svc 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 CITY OF DALLAS AMBULANCE SVC

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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.
1235132689
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2265234616
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 6 + 5 + 2 + 3 + 4 + 6 + 1 + 6 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1235132689 is valid because the calculated check digit 9 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 1235132689, enumerated in the NPI registry as an "organization" on May 31, 2005

The provider is located at 187 Se Court St Dallas, Or 97338 and the phone number is (503) 831-3533

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

The provider might be accepting Accepts: Medicare, Medicaid and Railroad Medicare. 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, advanced life support, non-emergency transport, level 1 (als 1), Ambulance service, basic life support, emergency transport (bls-emergency), Ambulance service, basic life support, non-emergency transport, (bls) and Ground mileage, per statute mile.

The provider's CLIA number is 38D0695225 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 31, 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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