ALLEN-WATERBURY RESCUE SQUAD (CITY OF ALLEN) NPI 1003043951

Ambulance (Land Transport) in Allen, NE

NPI 1003043951 Organization Ambulance Land Transport CLIA Number 28D1038139 CLIA Certificate of Waiver

About ALLEN-WATERBURY RESCUE SQUAD (CITY OF ALLEN)

Allen-waterbury Rescue Squad (city Of Allen) is a provider established in Allen, Nebraska specializing in ambulance (land transport) . The NPI number of Allen-waterbury Rescue Squad (city Of Allen) is 1003043951 and was assigned on June 2009. The practitioner's primary taxonomy code is 3416L0300X with license number 1004 (NE). The provider is registered as an organization and their NPI record was last updated 12 years ago. The provider's is doing business as Allen-waterbury Rescue Squad. The authorized official of this NPI record is Ms. Candy L Torres (Rescue Captain)

The CLIA number of Allen-waterbury Rescue Squad is 28D1038139 registered as a "ambulance" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to Allen-waterbury Rescue Squad 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.

NPI

1003043951

Provider NameALLEN-WATERBURY RESCUE SQUAD (CITY OF ALLEN)
Provider Location Address201 S. HARRISON STREET ALLEN, NE 68710
Provider Mailing AddressPO BOX 40 ALLEN, NE 68710
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameALLEN-WATERBURY RESCUE SQUAD
Other Name TypeDoing Business As (3)
Enumeration Date06-18-2009
Last Update Date06-22-2009


Primary Taxonomy

Taxonomy Code3416L0300X
ClassificationAmbulance
TypeTransportation Services
SpecializationLand Transport
License No.1004
License StateNE

Business Address

ALLEN-WATERBURY RESCUE SQUAD
201 S. HARRISON STREET
ALLEN, NE
ZIP 68710
Phone: (402) 572-4019
Fax: (402) 965-8594

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Mailing Address

ALLEN-WATERBURY RESCUE SQUAD
PO BOX 40
ALLEN, NE
ZIP 68710
Phone: (402) 572-4019
Fax: (402) 965-8594



Authorized Official

Authorized Official NameMS. CANDY L TORRES
Authorized Official TitleRESCUE CAPTAIN
Authorized Official Phone(402) 572-4019

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 the NPI number 1003043951 is:

CLIA Number28D1038139
Facility TypeAMBULANCE
Certificate TypeCertificate of Waiver

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.