ETMC EMS
NPI 1104286087
Ambulance - Land Transport in Tyler, TX
NPI Status: Active since March 04, 2016
Contact Information
352 S GLENWOOD
TYLER, TX
ZIP 75702
Phone: (903) 535-5800
Fax: (903) 590-5810
- Organization
- Ambulance
- Land Transport
- CLIA Number: 45D1026437
- CLIA Cert. Type: Ambulance
- CLIA Exp. Date: 06-03-2026
About ETMC EMS
This page provides the complete NPI Profile along with additional information for Etmc Ems, a provider established in Tyler, Texas operating as a Ambulance, focusing in land transport . The healthcare provider is registered in the NPI registry with number 1104286087 assigned on March 2016. The practitioner's primary taxonomy code is 3416L0300X with license number 212002 (TX). The provider is registered as an organization and their NPI record was last updated 10 years ago. The authorized official of this NPI record is Mr. Charles Anthony Farmer (C.f.o.)
- NPI
- 1104286087
- Provider Name
- ETMC EMS
- Entity Type
- Organization
- Location Address
- 352 S GLENWOOD TYLER, TX 75702
- Location Phone
- (903) 535-5800
- Location Fax
- (903) 590-5810
- Mailing Address
- 352 S GLENWOOD TYLER, TX 75702
- Mailing Phone
- (903) 535-5800
- Mailing Fax
- (903) 590-5810
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 03-04-2016
- Last Update Date
- 03-04-2016
- 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.
- 212002
- License State
- TX
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
Specialty care transport (sct)
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 318 times for 311 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 10,622 times for 6,392 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 1,559 times for 1,407 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 1,249 times for 1,017 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 2,758 times for 2,160 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 223,793 times for 8,786 patientsSpecialty Care Transport (SCT) is a level of medical transport service for critically ill or injured patients. It involves healthcare professionals with advanced skills and equipment to provide continuous care during transport, ensuring patient's safety and well-being.
This service was performed 26 times for 25 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
- 45D1026437
- Facility Type
- Ambulance
- Certificate Effective Date
- June 04, 2024
- Certificate Expiration Date
- June 03, 2026
- Laboratory Director
- YAGNESH KANTI DESAI
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Etmc Ems 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.
Reviews for ETMC EMS
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
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 1104286087, we treat the final digit (7) 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 53. The final step is to find the difference between that total and the next multiple of ten (60 - 53 = 7).
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 53 is 60. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104286087, enumerated as an "organization" on March 04, 2016.
The provider is located at 352 S GLENWOOD TYLER, TX 75702 and the phone number is (903) 535-5800.
Ambulance with taxonomy code 3416L0300X and a focus in Land Transport.