LINCOLN COUNTY AMB DIST
NPI 1063419620
Ambulance - Land Transport in Troy, MO
NPI Status: Active since June 28, 2005
Contact Information
1392 SOUTH 3RD ST
TROY, MO
ZIP 63379
Phone: (636) 528-8488
Fax: (636) 528-6828
- Organization
- Ambulance
- Land Transport
- CLIA Number: 26D0857969
- CLIA Cert. Type: Other
- CLIA Exp. Date: 08-31-2026
About LINCOLN COUNTY AMB DIST
This page provides the complete NPI Profile along with additional information for Lincoln County Amb Dist, a provider established in Troy, Missouri operating as a Ambulance, focusing in land transport . The healthcare provider is registered in the NPI registry with number 1063419620 assigned on June 2005. The practitioner's primary taxonomy code is 3416L0300X with license number 113000 (MO). The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Mr. Ray Antonacci (Chief Administrator)
- NPI
- 1063419620
- Provider Name
- LINCOLN COUNTY AMB DIST
- Entity Type
- Organization
- Location Address
- 1392 SOUTH 3RD ST TROY, MO 63379
- Location Phone
- (636) 528-8488
- Location Fax
- (636) 528-6828
- Mailing Address
- PO BOX 157 TROY, MO 63379
- Mailing Phone
- (636) 528-8488
- Mailing Fax
- (636) 528-6828
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-28-2005
- Last Update Date
- 01-07-2020
- 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
- License No.
- 113000
- License State
- MO
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.
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 |
|---|---|---|---|
| 800459802 | MEDICAID (05) | MO |
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Advanced life support, level 2 (als 2)
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1)
Ambulance service, basic life support, emergency transport (bls-emergency)
Ambulance service, basic life support, non-emergency transport, (bls)
Ground mileage, per statute mile
Advanced Life Support Level 2 (ALS 2) is a medical service provided during emergencies. It involves advanced procedures like defibrillation, medication administration or endotracheal intubation by trained professionals to stabilize critical patients.
This service was performed 46 times for 46 patientsAmbulance Service, Advanced Life Support, Level 1 (ALS 1 - Emergency) is a critical care transport service for emergency situations. It includes a team of healthcare professionals equipped with advanced skills and tools to manage life-threatening conditions during transport.
This service was performed 568 times for 413 patientsAmbulance Service, Advanced Life Support, Non-Emergency Transport, Level 1 (ALS 1) is a medical transportation service for patients who don't have an immediate life-threatening condition but require advanced medical monitoring or interventions during the journey.
This service was performed 101 times for 98 patientsAmbulance service with basic life support (BLS-Emergency) provides immediate transport for patients in critical situations. Medical professionals on board deliver essential care like CPR, wound dressing, and oxygen therapy to stabilize patients during the journey.
This service was performed 148 times for 124 patientsBasic Life Support (BLS) non-emergency ambulance service provides safe transportation for patients who don't need immediate medical attention. It includes monitoring vital signs, ensuring comfort, and administering basic care during transport.
This service was performed 181 times for 143 patientsGround mileage per statute mile is a method of calculating the cost of transportation for medical services. It is used when a patient needs to be transported by ground ambulance. The cost is calculated per mile, from the pick-up location to the medical facility.
This service was performed 23,249 times for 644 patientsCLIA 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
- 26D0857969
- Facility Type
- Other
- Certificate Effective Date
- September 01, 2024
- Certificate Expiration Date
- August 31, 2026
- Laboratory Director
- HAWNWAN P. MOY
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Lincoln County Amb Dist 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 NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1063419620, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 60 is 60. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1063419620, enumerated as an "organization" on June 28, 2005.
The provider is located at 1392 SOUTH 3RD ST TROY, MO 63379 and the phone number is (636) 528-8488.
Ambulance with taxonomy code 3416L0300X and a focus in Land Transport.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
