WHITE HAVEN RESCUE UNIT, INC.
NPI 1104042019
Ambulance - Land Transport in White Haven, PA
NPI Status: Active since April 18, 2007
Contact Information
500 TOWANDA ST # 502
WHITE HAVEN, PA
ZIP 18661
Phone: (570) 443-9499
Fax: (570) 443-0666
- Organization
- Ambulance
- Land Transport
- CLIA Number: 39D2199587
- CLIA Cert. Type: Ambulance
- CLIA Exp. Date: 11-09-2026
About WHITE HAVEN RESCUE UNIT, INC.
This page provides the complete NPI Profile along with additional information for White Haven Rescue Unit, Inc., a provider established in White Haven, Pennsylvania operating as a Ambulance, focusing in land transport . The healthcare provider is registered in the NPI registry with number 1104042019 assigned on April 2007. The practitioner's primary taxonomy code is 3416L0300X with license number 05049 (PA). The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is George D Wood (Vice President)
- NPI
- 1104042019
- Provider Name
- WHITE HAVEN RESCUE UNIT, INC.
- Entity Type
- Organization
- Location Address
- 500 TOWANDA ST # 502 WHITE HAVEN, PA 18661
- Location Phone
- (570) 443-9499
- Location Fax
- (570) 443-0666
- Mailing Address
- 500 TOWANDA ST WHITE HAVEN, PA 18661
- Mailing Phone
- (570) 443-9499
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-18-2007
- Last Update Date
- 01-19-2025
- 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.
- 05049
- License State
- 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.
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 |
|---|---|---|---|
| 0011031380002 | MEDICAID (05) | PA | |
| 060409 | OTHER (01) | PA | FIRST PRIORITY HEALTH |
| 590008841 | OTHER (01) | PA | RAILROAD MEDICARE |
| 800423 | OTHER (01) | PA | FEDERAL BLACK LUNG |
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.
Ambulance service, basic life support, emergency transport (bls-emergency)
Ground mileage, per statute mile
Ambulance 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 38 times for 37 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 672 times for 37 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
- 39D2199587
- Facility Type
- Ambulance
- Certificate Effective Date
- November 10, 2024
- Certificate Expiration Date
- November 09, 2026
- Laboratory Director
- GABRIEL M. METRIC
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to White Haven Rescue Unit, Inc. 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 1104042019, we treat the final digit (9) 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 41. The final step is to find the difference between that total and the next multiple of ten (50 - 41 = 9).
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 41 is 50. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104042019, enumerated as an "organization" on April 18, 2007.
The provider is located at 500 TOWANDA ST # 502 WHITE HAVEN, PA 18661 and the phone number is (570) 443-9499.
Ambulance with taxonomy code 3416L0300X and a focus in Land Transport.
The provider might be accepting Accepts: Medicare, Medicaid and Railroad Medicare. Please consult your insurance carrier or call the provider to verify.
