NORTHERN LIGHT MEDICAL TRANSPORT
NPI 1174017941
Ambulance - Land Transport in Bangor, ME

NPI Status: Active since June 15, 2018

Contact Information

931 UNION ST
BANGOR, ME
ZIP 04401
Phone: (207) 973-4700
Fax: (207) 973-4713

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  • Organization
  • Ambulance
  • Land Transport
  • CLIA Number: 20D2150133
  • CLIA Cert. Type: Waiver
  • CLIA Exp. Date: 06-17-2024

About NORTHERN LIGHT MEDICAL TRANSPORT

Northern Light Medical Transport is a provider established in Bangor, Maine operating as a Ambulance with a focus in land transport . The healthcare provider is registered in the NPI registry with number 1174017941 assigned on June 2018. The practitioner's primary taxonomy code is 3416L0300X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Mr. Joseph Clark Kellner (Vp Emer Services And Comm Progs)

NPI
1174017941
Provider Name
NORTHERN LIGHT MEDICAL TRANSPORT
Entity Type
Organization
Location Address
931 UNION ST BANGOR, ME 04401
Location Phone
(207) 973-4700
Location Fax
(207) 973-4713
Mailing Address
43 WHITING HILL RD BREWER, ME 04412
Mailing Phone
(207) 973-4702
Mailing Fax
(207) 973-4713
Is Sole Proprietor?
N/A
Is Organization Subpart?
No
Enumeration Date
06-15-2018
Last Update Date
06-15-2018
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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

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Harvard Pilgrim Health Care

    • NH Local Choice HMO Bronze 6500 - HMO
    • NH Local Choice HMO Bronze 7200 - HMO
    • NH Local Choice HMO Bronze 8000 - HMO
    • NH Local Choice HMO Gold - HMO
    • NH Local Choice HMO Gold 1400 - HMO
    • NH Local Choice HMO HSA Bronze 6000 - HMO
    • NH Local Choice HMO Silver 2500 - HMO
    • NH Local Choice HMO Silver 3500 - HMO
    • NH Local Choice HMO Silver 4000 - HMO
    • NH Local Choice HMO Silver 5000 - HMO
    • NH Local HMO Bronze 7500 Standard - HMO
    • NH Local HMO Gold 1500 Standard - HMO
    • NH Local HMO Silver 5900 Standard - HMO

*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

MR. JOSEPH CLARK KELLNER

Authorized Official Title
VP EMER SERVICES AND COMM PROGS
Authorized Official Phone
(207) 973-4702

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
20D2150133
Facility Type
Ambulance
Certificate Effective Date
June 18, 2022
Certificate Expiration Date
June 17, 2024
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Northern Light Medical Transport 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 NORTHERN LIGHT MEDICAL TRANSPORT

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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.
1174017941
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21144011498
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 4 + 4 + 0 + 1 + 1 + 4 + 9 + 8 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1174017941 is valid because the calculated check digit 1 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 1174017941, enumerated in the NPI registry as an "organization" on June 15, 2018

The provider is located at 931 Union St Bangor, Me 04401 and the phone number is (207) 973-4700

This medical organization specializes in Ambulance with taxonomy code 3416L0300X with a focus in Land Transport

The provider might be accepting Accepts: Harvard Pilgrim Health Care. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 20D2150133 for a "ambulance" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued 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..

This NPI record was last updated on June 15, 2018. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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