VCU LIFEEVAC
NPI 1902181720
Ambulance - Air Transport in Mattaponi, VA

NPI Status: Active since October 12, 2011

Contact Information

345 TAILWIND LANE
MATTAPONI, VA
ZIP 23110
Phone: (888) 636-4438
Fax: (402) 952-2423

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  • Organization
  • Ambulance
  • Air Transport

About VCU LIFEEVAC

This page provides the complete NPI Profile along with additional information for Vcu Lifeevac, a provider established in Mattaponi, Virginia operating as a Ambulance, focusing in air transport . The healthcare provider is registered in the NPI registry with number 1902181720 assigned on October 2011. The practitioner's primary taxonomy code is 3416A0800X with license number 1186 (VA). The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's is doing business as Vcu Lifeevac. The authorized official of this NPI record is Mark Raymond Keene (Senior Vice President)

NPI
1902181720
Provider Legal Name
ROCKY MOUNTAIN HOLDINGS, LLC
Other Organization Name
VCU LIFEEVAC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
345 TAILWIND LANE MATTAPONI, VA 23110
Location Phone
(888) 636-4438
Location Fax
(402) 952-2423
Mailing Address
621 CARNEGIE DR STE 210 SAN BERNARDINO, CA 92408
Mailing Phone
(888) 636-4438
Mailing Fax
(402) 952-2423
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
10-12-2011
Last Update Date
02-09-2015
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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.
1186
License State
VA

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

MARK RAYMOND KEENE

Authorized Official Title
SENIOR VICE PRESIDENT
Authorized Official Phone
(909) 915-2301

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
1902181720MEDICAID (05)VA 
590000214MEDICARE PIN (08)VA 

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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.
1902181720
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
290228274
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 0 + 2 + 2 + 8 + 2 + 7 + 4 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1902181720 is valid because the calculated check digit 0 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 1902181720, enumerated in the NPI registry as an "organization" on October 12, 2011

The provider is located at 345 Tailwind Lane Mattaponi, Va 23110 and the phone number is (888) 636-4438

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

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 October 12, 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.