DUSHORE FIRE CO 1
NPI 1922023605
Ambulance in Dushore, PA

NPI Status: Active since July 13, 2006

Contact Information

JULIA ST
DUSHORE, PA
ZIP 18614
Phone: (570) 928-8508

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  • Organization
  • Ambulance
  • CLIA Number: 39D2142244
  • CLIA Cert. Type: Ambulance
  • CLIA Exp. Date: 01-07-2026

About DUSHORE FIRE CO 1

This page provides the complete NPI Profile along with additional information for Dushore Fire Co 1, a provider established in Dushore, Pennsylvania operating as a Ambulance. The healthcare provider is registered in the NPI registry with number 1922023605 assigned on July 2006. The practitioner's primary taxonomy code is 341600000X with license number 05128 (PA). The provider is registered as an organization and their NPI record was last updated 18 years ago. The authorized official of this NPI record is Ms. Nancy J Clark (Clerical Billing Agent)

NPI
1922023605
Provider Name
DUSHORE FIRE CO 1
Entity Type
Organization
Location Address
JULIA ST DUSHORE, PA 18614
Location Phone
(570) 928-8508
Mailing Address
PO BOX 111 TOWANDA, PA 18848
Mailing Phone
(570) 268-2417
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-13-2006
Last Update Date
11-14-2007
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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.
05128
License State
PA
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).

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)
13416L0300XTransportation Services

Ambulance
Land Transport

05128 (PA)

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

MS. NANCY J CLARK

Authorized Official Title
CLERICAL BILLING AGENT
Authorized Official Phone
(570) 268-2417

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
284561MEDICARE ID-TYPE UNSPECIFIED (04) 
0009433010003MEDICAID (05)PA 

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
39D2142244
Facility Type
Ambulance
Certificate Effective Date
January 08, 2024
Certificate Expiration Date
January 07, 2026
Laboratory Director
DR. GREGORY FRAILEY
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Dushore Fire Co 1 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.
1922023605
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
294202660
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 4 + 2 + 0 + 2 + 6 + 6 + 0 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 55

The NPI number 1922023605 is valid because the calculated check digit 5 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 1922023605, enumerated in the NPI registry as an "organization" on July 13, 2006

The provider is located at Julia St Dushore, Pa 18614 and the phone number is (570) 928-8508

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.

The provider's CLIA number is 39D2142244 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 13, 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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