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
- 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
- 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
- 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).
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. | |||||||||
1 | 1 | 0 | 4 | 1 | 7 | 8 | 5 | 2 | 4 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 1 | 0 | 4 | 2 | 7 | 16 | 5 | 4 | |
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 = 4 | 4 |
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.