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ARCATA-MAD RIVER AMBULANCE LLC
NPI 1114430998
Ambulance - Land Transport in Arcata, CA

Active since November 15, 2017CLIA 05D0687527 · Waiver
220 F ST, ARCATA, CA 95521(707) 822-3353(707) 822-9628 Get Directions Write a Review

NPPES record last updated: September 15, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 15, 2025, Jun 19, 2024, May 23, 2023 and 8 more (11 updates tracked since 2017).

About Arcata-mad River Ambulance Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ARCATA-MAD RIVER AMBULANCE LLC (NPI 1114430998) is a healthcare organization registered as a land transport in Arcata, California and active in the NPI registry since November 2017. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Timothy Joseph Dorn, Chief Administrative Officer, as its authorized official.

NPPES Registry Identity

NPI1114430998
Entity TypeOrganization
Primary Taxonomy3416L0300X
Legal Business NameARCATA-MAD RIVER AMBULANCE LLC
Location Address220 F STArcata, CA 95521-6616
Mailing AddressPo Box 742464Los Angeles, CA 90074-2464 · (800) 913-9106
Phone(707) 822-3353
Fax(707) 822-9628
Organization SubpartYes
Authorized OfficialTimothy Joseph DornChief Administrative Officer · (833) 703-2294
Enumeration DateNovember 15, 2017
Last NPPES UpdateSeptember 15, 202511 updates tracked since enumeration
NPPES CertifiedSeptember 15, 2025
✔ NPI 1114430998 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAmbulance · Land TransportTransportation Services
Taxonomy Code3416L0300X
Also ListedAmbulanceTaxonomy 341600000X
220 F ST, Arcata, CA 95521
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Other Identifiers 3

Medicaid2105498WA
Medicaid1114430998CA
Medicaid500763575OR

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D0687527

Arcata Mad River Ambulance Inc · Arcata, CA
Active · expires Aug 31, 2026
CLIA Number05D0687527
Laboratory TypeOther
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorDouglas J. Boileau
Laboratory Phone(707) 822-3353
Laboratory LocationArcata Mad River Ambulance Inc220 F St Po Box 4948, Arcata, CA 95521
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Ground mileage, per statute mile A0425
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.
13,646 services876 patients
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) A0427
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.
906 services653 patients
Ambulance service, basic life support, emergency transport (bls-emergency) A0429
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.
309 services216 patients
Ambulance service, basic life support, non-emergency transport, (bls) A0428
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.
74 services62 patients
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) A0426
Ambulance 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.
64 services62 patients
Specialty care transport (sct) A0434
Specialty 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.
46 services45 patients

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ARCATA-MAD RIVER AMBULANCE
Ambulance
220 F ST
ARCATA, CA 95521
Humboldt County (707) 822-3353

Frequently Asked Questions

What is ARCATA-MAD RIVER AMBULANCE LLC's NPI number?

The NPI number assigned to this healthcare provider is 1114430998, enumerated as an "organization" on November 15, 2017.

Where is the provider located?

The provider is located at 220 F ST ARCATA, CA 95521 and the phone number is (707) 822-3353.

What is the provider's specialty?

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

What insurance does ARCATA-MAD RIVER AMBULANCE LLC accept?

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