SULLY FIRE DEPT
NPI 1750374583
Ambulance - Land Transport in Sully, IA
NPI Status: Active since August 26, 2005
- Organization
- Ambulance
- Land Transport
- CLIA Number: 16D2150049
- CLIA Cert. Type: Ambulance
- CLIA Exp. Date: 06-14-2026
About SULLY FIRE DEPT
This page provides the complete NPI Profile along with additional information for Sully Fire Dept, a provider established in Sully, Iowa operating as a Ambulance, focusing in land transport . The healthcare provider is registered in the NPI registry with number 1750374583 assigned on August 2005. The practitioner's primary taxonomy code is 3416L0300X. The provider is registered as an organization and their NPI record was last updated 11 years ago. The provider's is doing business as Sully Fire Dept. The authorized official of this NPI record is Loren J Vos (Secretary Treasurer)
- NPI
- 1750374583
- Provider Legal Name
- LOREN J. VOS TREAS
- Other Organization Name
- SULLY FIRE DEPT
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 601 5TH ST SULLY, IA 50251
- Location Phone
- (641) 891-5000
- Mailing Address
- PO BOX 256 SULLY, IA 50251
- Mailing Phone
- (641) 891-5000
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-26-2005
- Last Update Date
- 06-03-2014
- Code Navigator
Location Map
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
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.
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 |
|---|---|---|---|
| 0022525 | MEDICAID (05) | IA | |
| 0022525 | OTHER (01) | HERITAGE JOHN DEERE | |
| 02252 | OTHER (01) | BLUE CROSS BLUE SHIELD | |
| 02252 | MEDICARE PIN (08) | IA |
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
- 16D2150049
- Facility Type
- Ambulance
- Certificate Effective Date
- June 15, 2024
- Certificate Expiration Date
- June 14, 2026
- Laboratory Director
- JUSTINE L. WYMA
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Sully Fire Dept 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. | |||||||||
| 1 | 7 | 5 | 0 | 3 | 7 | 4 | 5 | 8 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 10 | 0 | 6 | 7 | 8 | 5 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 0 + 0 + 6 + 7 + 8 + 5 + 1 + 6 + 24 = 67 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 67 = 3 | 3 | ||||||||
The NPI number 1750374583 is valid because the calculated check digit 3 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 |
|---|---|---|---|
| 1710790746 | SULLY RURAL FIRE DEPARTMENT AND AMBULANCE SERVICE INC Organization | Ambulance (Land Transport) | 601 5TH ST SULLY, IA 50251 (641) 594-4100 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1750374583, enumerated in the NPI registry as an "organization" on August 26, 2005
The provider is located at 601 5th St Sully, Ia 50251 and the phone number is (641) 891-5000
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 Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 16D2150049 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 August 26, 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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