MID VALLEY AMBULANCE SERVICE INC.
NPI 1104304682
Ambulance - Land Transport in Eugene, OR

NPI Status: Active since August 06, 2018

Contact Information

280 JEFFERSON ST
EUGENE, OR
ZIP 97402
Phone: (541) 747-4025

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  • Organization
  • Ambulance
  • Land Transport
  • CLIA Number: 38D2144256
  • CLIA Cert. Type: Ambulance
  • CLIA Exp. Date: 02-12-2028

About MID VALLEY AMBULANCE SERVICE INC.

This page provides the complete NPI Profile along with additional information for Mid Valley Ambulance Service Inc., a provider established in Eugene, Oregon operating as a Ambulance, focusing in land transport . The healthcare provider is registered in the NPI registry with number 1104304682 assigned on August 2018. The practitioner's primary taxonomy code is 3416L0300X with license number 3639 (OR). The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Jd Fuiten (Owner)

NPI
1104304682
Provider Name
MID VALLEY AMBULANCE SERVICE INC.
Entity Type
Organization
Location Address
280 JEFFERSON ST EUGENE, OR 97402
Location Phone
(541) 747-4025
Mailing Address
3505 OCEAN BLVD SE COOS BAY, OR 97420
Mailing Phone
(541) 266-4300
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-06-2018
Last Update Date
02-15-2024
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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 Land Transport

Taxonomy Code
3416L0300X
Type
Transportation Services
License No.
3639
License State
OR

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

JD FUITEN

Authorized Official Title
OWNER
Authorized Official Phone
(541) 648-6658

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, advanced life support, emergency transport, level 1 (als 1 - emergency)

Ambulance 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 231 times for 210 patients

Ambulance service, basic life support, emergency transport (bls-emergency)

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 404 times for 319 patients

Ambulance service, basic life support, non-emergency transport, (bls)

Basic 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 150 times for 128 patients

Ground mileage, per statute mile

Ground 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 6,855 times for 573 patients

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
38D2144256
Facility Type
Ambulance
Certificate Effective Date
February 13, 2026
Certificate Expiration Date
February 12, 2028
Laboratory Director
JENNALYN E. FORD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Mid Valley Ambulance Service 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.

Reviews for MID VALLEY AMBULANCE SERVICE INC.

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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 1104304682, we treat the final digit (2) 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 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).

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.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
0
Doubled → 0
Pos 4
4
Unchanged
Pos 5
3
Doubled → 6
Pos 6
0
Unchanged
Pos 7
4
Doubled → 8
Pos 8
6
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
2
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 0 → 0 3 → 6 4 → 8 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 0 + 4 + 6 + 0 + 8 + 6 + 1 + 6 + 24 = 58

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1104304682.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104304682, enumerated as an "organization" on August 06, 2018.

The provider is located at 280 JEFFERSON ST EUGENE, OR 97402 and the phone number is (541) 747-4025.

Ambulance with taxonomy code 3416L0300X and a focus in Land Transport.