OLD MYSTIC FIRE DEPARTMENT
NPI 1073981536
Emergency Medical Technician, Basic in Mystic, CT
NPI Status: Active since September 14, 2015
Contact Information
295 COW HILL RD
MYSTIC, CT
ZIP 06355
Phone: (860) 536-2220
Fax: (860) 536-7811
- Organization
- Emergency Medical Technician, Basic
- CLIA Number: 07D2114176
- CLIA Cert. Type: Other - FIRE DEPT
- CLIA Exp. Date: 06-07-2028
About OLD MYSTIC FIRE DEPARTMENT
This page provides the complete NPI Profile along with additional information for Old Mystic Fire Department, a provider established in Mystic, Connecticut operating as a Emergency Medical Technician, Basic. The healthcare provider is registered in the NPI registry with number 1073981536 assigned on September 2015. The practitioner's primary taxonomy code is 146N00000X. The provider is registered as an organization and their NPI record was last updated 11 years ago. Old Mystic Fire Department operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's other name is Old Mystic Fire Department. The authorized official of this NPI record is Mr. Kenneth W. Richards Jr. (Fire Chief/fire Marshal)
- NPI
- 1073981536
- Provider Legal Name
- OLD MYSTIC FIRE DISTRICT
- Other Organization Name
- OLD MYSTIC FIRE DEPARTMENT
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 295 COW HILL RD MYSTIC, CT 06355
- Location Phone
- (860) 536-2220
- Location Fax
- (860) 536-7811
- Mailing Address
- 295 COW HILL RD MYSTIC, CT 06355
- Mailing Phone
- (860) 536-2220
- Mailing Fax
- (860) 536-7811
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-14-2015
- Last Update Date
- 09-14-2015
- 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
Emergency Medical Technician, Basic
- Taxonomy Code
- 146N00000X
- Type
- Emergency Medical Service Providers
- Taxonomy Description
- A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards.
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
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
- 07D2114176
- Facility Type
- Other - FIRE DEPT
- Certificate Effective Date
- June 08, 2026
- Certificate Expiration Date
- June 07, 2028
- Laboratory Director
- KENNETH W. RICHARDS JR
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Old Mystic Fire Department 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 1073981536, we treat the final digit (6) 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 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).
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 64 is 70. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1073981536, enumerated as an "organization" on September 14, 2015.
The provider is located at 295 COW HILL RD MYSTIC, CT 06355 and the phone number is (860) 536-2220.
Emergency Medical Technician, Basic with taxonomy code 146N00000X.
