ARCH AIR MEDICAL SERVICE, INC.
NPI 1356762579
Ambulance - Air Transport in Sullivan, MO

NPI Status: Active since December 16, 2013

Contact Information

1310 AIRPORT RD
SULLIVAN, MO
ZIP 63080
Phone: (006) 364-4388

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  • Organization
  • Ambulance
  • Air Transport
  • CLIA Number: 26D2057928
  • CLIA Cert. Type: Ambulance
  • CLIA Exp. Date: 04-24-2027

About ARCH AIR MEDICAL SERVICE, INC.

This page provides the complete NPI Profile along with additional information for Arch Air Medical Service, Inc., a provider established in Sullivan, Missouri operating as a Ambulance, focusing in air transport . The healthcare provider is registered in the NPI registry with number 1356762579 assigned on December 2013. The practitioner's primary taxonomy code is 3416A0800X with license number 510092 (MO). The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's is doing business as Arch Air Medical Service, Inc.. The authorized official of this NPI record is Sharon J Keck (Cao)

NPI
1356762579
Provider Legal Name
LIFENET, INC.
Other Organization Name
ARCH AIR MEDICAL SERVICE, INC.
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1310 AIRPORT RD SULLIVAN, MO 63080
Location Phone
(006) 364-4388
Mailing Address
PO BOX 713383 CINCINNATI, OH 45271
Mailing Phone
(800) 636-4438
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
12-16-2013
Last Update Date
10-25-2022
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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 Air Transport

Taxonomy Code
3416A0800X
Type
Transportation Services
License No.
510092
License State
MO

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

SHARON J KECK

Authorized Official Title
CAO
Authorized Official Phone
(800) 636-4438

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
26D2057928
Facility Type
Ambulance
Certificate Effective Date
April 25, 2025
Certificate Expiration Date
April 24, 2027
Laboratory Director
AMY J. NIEWINSKI
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Arch Air Medical Service, 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.
1356762579
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
231061464514
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 0 + 6 + 1 + 4 + 6 + 4 + 5 + 1 + 4 + 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 1356762579 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1538168372LIFENET, INC
Organization
Ambulance (Air Transport)1310 AIRPORT RD
SULLIVAN, MO 63080
(800) 636-4438

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1356762579, enumerated in the NPI registry as an "organization" on December 16, 2013

The provider is located at 1310 Airport Rd Sullivan, Mo 63080 and the phone number is (006) 364-4388

This medical organization specializes in Ambulance with taxonomy code 3416A0800X with a focus in Air Transport

The provider's CLIA number is 26D2057928 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 December 16, 2013. 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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