PROFESSIONAL MEDICAL TRANSPORT INC DBA PMT AMBULANCE
NPI 1467725911
Ambulance - Land Transport in Mesa, AZ

NPI Status: Active since February 14, 2012

Contact Information

617 W MAIN ST
MESA, AZ
ZIP 85201
Phone: (480) 446-2513
Fax: (480) 446-2510

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  • Organization
  • Ambulance
  • Land Transport
  • Accepts Insurance
  • CLIA Number: 03D2149632
  • CLIA Cert. Type: Ambulance
  • CLIA Exp. Date: 06-06-2026

About PROFESSIONAL MEDICAL TRANSPORT INC DBA PMT AMBULANCE

This page provides the complete NPI Profile along with additional information for Professional Medical Transport Inc Dba Pmt Ambulance, a provider established in Mesa, Arizona operating as a Ambulance, focusing in land transport . The healthcare provider is registered in the NPI registry with number 1467725911 assigned on February 2012. 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 provider's is doing business as Professional Medical Transport Inc Dba Pmt Ambulance. The authorized official of this NPI record is Timothy Joseph Dorn (Chief Administrative Officer)

NPI
1467725911
Provider Legal Name
R M ARIZONA HOLDINGS INC
Other Organization Name
PROFESSIONAL MEDICAL TRANSPORT INC DBA PMT AMBULANCE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
617 W MAIN ST MESA, AZ 85201
Location Phone
(480) 446-2513
Location Fax
(480) 446-2510
Mailing Address
PO BOX 847102 DALLAS, TX 75284
Mailing Phone
(800) 913-9106
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-14-2012
Last Update Date
07-01-2024
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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

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1341600000XTransportation Services

Ambulance

 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Clear Silver - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Silver - HMO
  • Complete Silver + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Blue AdvanceHealth Bronze - MaricopaFocus Network - HMO
  • Blue AdvanceHealth Bronze - Neighborhood Network - HMO
  • Blue AdvanceHealth Bronze - PimaFocus Network - HMO
  • Blue AdvanceHealth Gold - MaricopaFocus Network - HMO
  • Blue AdvanceHealth Gold - Neighborhood Network - HMO
  • Blue AdvanceHealth Gold - PimaFocus Network - HMO
  • Blue AdvanceHealth Silver - MaricopaFocus Network - HMO
  • Blue AdvanceHealth Silver - Neighborhood Network - HMO
  • Blue AdvanceHealth Silver - PimaFocus Network - HMO
  • Blue EverydayHealth Gold - MaricopaFocus Network - HMO
  • Blue EverydayHealth Gold - Neighborhood Network - HMO
  • Blue EverydayHealth Gold - PimaFocus Network - HMO
  • Blue EverydayHealth Silver - MaricopaFocus Network - HMO
  • Blue EverydayHealth Silver - Neighborhood Network - HMO
  • Blue EverydayHealth Silver - PimaFocus Network - HMO
  • Blue Portfolio HSA Bronze - MaricopaFocus Network - HMO
  • Blue Portfolio HSA Bronze - Neighborhood Network - HMO
  • Blue Portfolio HSA Bronze - PimaFocus Network - HMO
  • Blue Portfolio HSA Gold - Statewide PPO Network - PPO
  • Blue PPO PremierHealth Silver - Statewide PPO Network - PPO

*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

TIMOTHY JOSEPH DORN

Authorized Official Title
CHIEF ADMINISTRATIVE OFFICER
Authorized Official Phone
(833) 703-2294

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.

Advanced life support, level 2 (als 2)

Advanced Life Support Level 2 (ALS 2) is a medical service provided during emergencies. It involves advanced procedures like defibrillation, medication administration or endotracheal intubation by trained professionals to stabilize critical patients.

This service was performed 14 times for 14 patients

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 1,024 times for 954 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 321 times for 312 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 1,062 times for 1,001 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 1,158 times for 1,062 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 45,367 times for 3,259 patients

Specialty care transport (sct)

Specialty Care Transport (SCT) is a level of medical transport service for critically ill or injured patients. It involves healthcare professionals with advanced skills and equipment to provide continuous care during transport, ensuring patient's safety and well-being.

This service was performed 102 times for 101 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
03D2149632
Facility Type
Ambulance
Certificate Effective Date
June 07, 2024
Certificate Expiration Date
June 06, 2026
Laboratory Director
GLENN KASPRZYK
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Professional Medical Transport Inc Dba Pmt Ambulance 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.
1467725911
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
241271421092
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 2 + 7 + 1 + 4 + 2 + 1 + 0 + 9 + 2 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1467725911 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1851781314AMERICAN MEDICAL RESPONSE OF MARICOPA, LLC
Organization
Ambulance617 W MAIN ST
MESA, AZ 85201
(480) 257-1350
1720196843PROFESSIONAL MEDICAL TRANSPORT, INC
Organization
Ambulance (Land Transport)617 W MAIN ST
MESA, AZ 85201
(480) 446-2513
1457308058RURAL METRO CORPORATION
Organization
Ambulance (Land Transport)617 W MAIN ST
MESA, AZ 85201
(844) 300-3606

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1467725911, enumerated in the NPI registry as an "organization" on February 14, 2012

The provider is located at 617 W Main St Mesa, Az 85201 and the phone number is (480) 446-2513

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

The provider might be accepting Accepts: Ambetter from Arizona Complete Health and Blue. 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: Advanced life support, level 2 (als 2), 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), Ground mileage, per statute mile and Specialty care transport (sct).

The provider's CLIA number is 03D2149632 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 February 14, 2012. 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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