CRESCENT VILLA FIRE AUTHORITY
NPI 1104178524
Ambulance in Crescent Springs, KY

NPI Status: Active since October 09, 2012

Contact Information

777 OVERLOOK RD
CRESCENT SPRINGS, KY
ZIP 41017
Phone: (859) 341-3840
Fax: (859) 344-4191

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  • Organization
  • Ambulance
  • CLIA Number: 36D1082285
  • CLIA Cert. Type: Home Health Agency
  • CLIA Exp. Date: 06-09-2026

About CRESCENT VILLA FIRE AUTHORITY

This page provides the complete NPI Profile along with additional information for Crescent Villa Fire Authority, a provider established in Crescent Springs, Kentucky operating as a Ambulance. The healthcare provider is registered in the NPI registry with number 1104178524 assigned on October 2012. The practitioner's primary taxonomy code is 341600000X with license number 1434 (KY). The provider is registered as an organization and their NPI record was last updated 13 years ago. The authorized official of this NPI record is Scott Ringo (Fire Authority Board Member)

NPI
1104178524
Provider Name
CRESCENT VILLA FIRE AUTHORITY
Entity Type
Organization
Location Address
777 OVERLOOK RD CRESCENT SPRINGS, KY 41017
Location Phone
(859) 341-3840
Location Fax
(859) 344-4191
Mailing Address
1105 SCHROCK RD SUITE 610 COLUMBUS, OH 43229
Mailing Phone
(614) 987-2006
Mailing Fax
(859) 344-4191
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-09-2012
Last Update Date
10-09-2012
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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.
1434
License State
KY
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).

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

SCOTT RINGO

Authorized Official Title
FIRE AUTHORITY BOARD MEMBER
Authorized Official Phone
(513) 608-7715

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
36D1082285
Facility Type
Home Health Agency
Certificate Effective Date
June 10, 2024
Certificate Expiration Date
June 09, 2026
Laboratory Director
ADEN SHIRDON
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Crescent Villa Fire Authority 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.
1104178524
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2104271654
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 0 + 4 + 2 + 7 + 1 + 6 + 5 + 4 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 44

The NPI number 1104178524 is valid because the calculated check digit 4 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 1104178524, enumerated as an "organization" on October 09, 2012.

The provider is located at 777 OVERLOOK RD CRESCENT SPRINGS, KY 41017 and the phone number is (859) 341-3840.

Ambulance with taxonomy code 341600000X.