CLARK AMBULANCE SERVICE, INC.
NPI 1760462451
Ambulance in Dallas, GA

NPI Status: Active since January 19, 2006

Contact Information

117A COMMERCE DR
DALLAS, GA
ZIP 30132
Phone: (770) 445-2151
Fax: (770) 505-7273

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  • Organization
  • Ambulance

About CLARK AMBULANCE SERVICE, INC.

This page provides the complete NPI Profile along with additional information for Clark Ambulance Service, Inc., a provider established in Dallas, Georgia operating as a Ambulance. The healthcare provider is registered in the NPI registry with number 1760462451 assigned on January 2006. The practitioner's primary taxonomy code is 341600000X with license number 110-06 (GA). The provider is registered as an organization and their NPI record was last updated 17 years ago. The authorized official of this NPI record is Mr. Samuel Thomas Clark (Ceo/owner)

NPI
1760462451
Provider Name
CLARK AMBULANCE SERVICE, INC.
Entity Type
Organization
Location Address
117A COMMERCE DR DALLAS, GA 30132
Location Phone
(770) 445-2151
Location Fax
(770) 505-7273
Mailing Address
PO BOX 1789 DALLAS, GA 30132
Mailing Phone
(770) 445-5008
Mailing Fax
(770) 505-7273
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-19-2006
Last Update Date
04-17-2008
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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

Taxonomy Code
341600000X
Type
Transportation Services
License No.
110-06
License State
GA
Taxonomy Description
An emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane).

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.

*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. SAMUEL THOMAS CLARK

Authorized Official Title
CEO/OWNER
Authorized Official Phone
(770) 445-5008

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
85053759AAMEDICARE ID-TYPE UNSPECIFIED (04)GAMEDICARE
00311165AMEDICAID (05)GA 

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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.
1760462451
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27120864410
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 2 + 0 + 8 + 6 + 4 + 4 + 1 + 0 + 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 1760462451 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 provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1952498776CLARK EMS AMBULANCE SERVICE
Organization
Emergency Medical Technician, Paramedic117A COMMERCE DR
DALLAS, GA 30132
(770) 445-2151

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1760462451, enumerated in the NPI registry as an "organization" on January 19, 2006

The provider is located at 117a Commerce Dr Dallas, Ga 30132 and the phone number is (770) 445-2151

This medical organization specializes in Ambulance with taxonomy code 341600000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on January 19, 2006. 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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