FOREST GROVE FIRE AND RESCUE
NPI 1689952384
Ambulance - Land Transport in Forest Grove, OR

NPI Status: Active since July 28, 2011

Contact Information

1919 ASH ST
FOREST GROVE, OR
ZIP 97116
Phone: (503) 992-3240
Fax: (503) 992-3243

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  • Organization
  • Ambulance
  • Land Transport
  • CLIA Number: 38D2001824
  • CLIA Cert. Type: Ambulance
  • CLIA Exp. Date: 12-30-2025

About FOREST GROVE FIRE AND RESCUE

This page provides the complete NPI Profile along with additional information for Forest Grove Fire And Rescue, a provider established in Forest Grove, Oregon operating as a Ambulance, focusing in land transport . The healthcare provider is registered in the NPI registry with number 1689952384 assigned on July 2011. The practitioner's primary taxonomy code is 3416L0300X with license number E229754 (OR). The provider is registered as an organization and their NPI record was last updated 12 years ago. The provider's is doing business as Forest Grove Fire And Rescue. The authorized official of this NPI record is Michael Kinkade Paramedic (Fire Chief)

NPI
1689952384
Provider Legal Name
CITY OF FOREST GROVE ATTN:PAYROLL CLERK
Other Organization Name
FOREST GROVE FIRE AND RESCUE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1919 ASH ST FOREST GROVE, OR 97116
Location Phone
(503) 992-3240
Location Fax
(503) 992-3243
Mailing Address
PO BOX 326 FOREST GROVE, OR 97116
Mailing Phone
(503) 992-3240
Mailing Fax
(503) 992-3243
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-28-2011
Last Update Date
04-04-2013
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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.
E229754
License State
OR

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

MICHAEL KINKADE PARAMEDIC

Authorized Official Title
FIRE CHIEF
Authorized Official Phone
(503) 992-3240

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 25 times for 25 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 462 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
38D2001824
Facility Type
Ambulance
Certificate Effective Date
December 31, 2023
Certificate Expiration Date
December 30, 2025
Laboratory Director
MICHAEL W KINKADE
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Forest Grove Fire And Rescue 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 FOREST GROVE FIRE AND RESCUE

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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.
1689952384
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
261691854316
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 6 + 9 + 1 + 8 + 5 + 4 + 3 + 1 + 6 + 24 = 76
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 76 = 44

The NPI number 1689952384 is valid because the calculated check digit 4 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 1689952384, enumerated in the NPI registry as an "organization" on July 28, 2011

The provider is located at 1919 Ash St Forest Grove, Or 97116 and the phone number is (503) 992-3240

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, advanced life support, emergency transport, level 1 (als 1 - emergency) and Ground mileage, per statute mile.

The provider's CLIA number is 38D2001824 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 July 28, 2011. 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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