RUSSELL REGIONAL HOSPITAL AMBULANCE
NPI 1104880947
Ambulance in Russell, KS

NPI Status: Active since April 17, 2006

Contact Information

200 S MAIN ST
RUSSELL, KS
ZIP 67665
Phone: (785) 483-3131
Fax: (785) 483-4859

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  • Organization
  • Ambulance
  • CLIA Number: 17D0452987
  • CLIA Cert. Type: Hospital
  • CLIA Exp. Date: 11-09-2027

About RUSSELL REGIONAL HOSPITAL AMBULANCE

This page provides the complete NPI Profile along with additional information for Russell Regional Hospital Ambulance, a provider established in Russell, Kansas operating as a Ambulance. The healthcare provider is registered in the NPI registry with number 1104880947 assigned on April 2006. The practitioner's primary taxonomy code is 341600000X with license number H084001 (KS). The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's is doing business as Russell Regional Hospital Ambulance. The authorized official of this NPI record is David Caudill (Ceo)

NPI
1104880947
Provider Legal Name
WEST CENTRAL KANSAS ASSOCIATION, INC.
Other Organization Name
RUSSELL REGIONAL HOSPITAL AMBULANCE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
200 S MAIN ST RUSSELL, KS 67665
Location Phone
(785) 483-3131
Location Fax
(785) 483-4859
Mailing Address
200 S MAIN ST RUSSELL, KS 67665
Mailing Phone
(785) 483-3131
Mailing Fax
(785) 483-4859
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-17-2006
Last Update Date
11-16-2022
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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.
H084001
License State
KS
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).

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.

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

DAVID CAUDILL

Authorized Official Title
CEO
Authorized Official Phone
(785) 483-3131

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
100306710FMEDICAID (05)KS 
100104400BMEDICAID (05)KS 
112005OTHER (01)KSBLUE SHIELD

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
17D0452987
Facility Type
Hospital
Certificate Effective Date
November 10, 2025
Certificate Expiration Date
November 09, 2027
Laboratory Director
KAROLINA I. WORONIECKA
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Russell Regional Hospital Ambulance after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

Reviews for RUSSELL REGIONAL HOSPITAL AMBULANCE

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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 1104880947, 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 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 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.

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

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 0 + 4 + 1 + 6 + 8 + 0 + 9 + 8 + 24 = 63

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

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1104880947.

Other Providers at the Same Location


The following 16 providers are registered at the same or a nearby location.

Nurse Anesthetist, Certified Registered
200 S MAIN ST
RUSSELL, KS 67665
Emergency Medicine
200 S MAIN ST
RUSSELL, KS 67665
Family Medicine
200 S MAIN ST
RUSSELL, KS 67665
Nurse Practitioner (Family)
200 S MAIN ST
RUSSELL, KS 67665
Physical Therapist
200 S MAIN ST
RUSSELL, KS 67665
Physical Therapist
200 S MAIN ST
RUSSELL, KS 67665
General Acute Care Hospital
200 S MAIN ST
RUSSELL, KS 67665
Nursing Facility/Intermediate Care Facility
200 S MAIN ST
RUSSELL, KS 67665
Skilled Nursing Facility
200 S MAIN ST
RUSSELL, KS 67665
Clinic/Center (Emergency Care)
200 S MAIN ST
RUSSELL, KS 67665
Nurse Practitioner (Family)
200 S MAIN ST
RUSSELL, KS 67665
Nurse Practitioner (Family)
200 S MAIN ST
RUSSELL, KS 67665
Nurse Practitioner (Family)
200 S MAIN ST
RUSSELL, KS 67665
Occupational Therapist
200 S MAIN ST
RUSSELL, KS 67665
Family Medicine
200 S MAIN ST
RUSSELL, KS 67665
Physician Assistant
200 S MAIN ST
RUSSELL, KS 67665

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104880947, enumerated as an "organization" on April 17, 2006.

The provider is located at 200 S MAIN ST RUSSELL, KS 67665 and the phone number is (785) 483-3131.

Ambulance with taxonomy code 341600000X.

The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to verify.