TIPPECANOE EMERGENCY AMBULANCE SERVICE
NPI 1245569144
Ambulance - Land Transport in Lafayette, IN

NPI Status: Active since December 24, 2009

Contact Information

1501 HARTFORD ST
LAFAYETTE, IN
ZIP 47904
Phone: (765) 449-3152
Fax: (765) 449-3117

NPI Profile Information
Primary Taxonomy
Insurance Plans Accepted
Authorized Official
Areas of Expertise
CLIA Information
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Ambulance
Land Transport
Accepts Insurance
CLIA Number: 15D2152904
CLIA Cert. Type: Physician Office
CLIA Exp. Date: 08-19-2026

About TIPPECANOE EMERGENCY AMBULANCE SERVICE

This page provides the complete NPI Profile along with additional information for Tippecanoe Emergency Ambulance Service, a provider established in Lafayette, Indiana operating as a Ambulance, focusing in land transport . The healthcare provider is registered in the NPI registry with number 1245569144 assigned on December 2009. The practitioner's primary taxonomy code is 3416L0300X with license number 0007 (IN). The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's other name is Tippecanoe Emergency Ambulance Service. The authorized official of this NPI record is Terrance E. Wilson (Ceo)

NPI: 1245569144
Provider Legal Name: FRANCISCAN HEALTH LAFAYETTE
Other Organization Name: TIPPECANOE EMERGENCY AMBULANCE SERVICE
Other Name Type: Other Name (5)
Entity Type: Organization
Location Address: 1501 HARTFORD ST LAFAYETTE, IN 47904
Location Phone: (765) 449-3152
Location Fax: (765) 449-3117
Mailing Address: 1501 HARTFORD ST LAFAYETTE, IN 47904
Mailing Phone: (765) 423-6276
Mailing Fax: (765) 449-3117
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 12-24-2009
Last Update Date: 04-16-2021
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.: 0007
License State: IN

Insurance Plans Accepted

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

Anthem Blue Cross and Blue Shield

Anthem Bronze Essential 10150 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
Anthem Bronze Essential 10150 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
Anthem Bronze Essential 6500 HSA (+ Incentives) - HMO
Anthem Bronze Essential 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
Anthem Bronze Essential POS 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
Anthem Bronze Essential POS 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
Anthem Catastrophic Essential (+ Incentives) - HMO
Anthem Gold Essential 2000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
Anthem Gold Essential 2200 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
Anthem Heart Healthy Bronze Essential 4500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
Anthem Heart Healthy Silver Essential 4500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
Anthem Silver Essential 3500 HSA (+ Incentives) - HMO
Anthem Silver Essential 6000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
Anthem Silver Essential 7000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
Anthem Silver Essential 7000 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO

CareSource

Bronze 7500 $25 Generic Drugs - HMO
Bronze 7500 $25 Generic Drugs + Adult Vision & Fitness - HMO
Diabetes Gold 3000 $0 Chronic Care Drugs & Services - HMO
Diabetes Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
Diabetes Silver 5000 $0 Chronic Care Drugs & Services - HMO
Diabetes Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
Gold 2000 $15 Generic Drugs - HMO
Gold 2000 $15 Generic Drugs + Adult Vision & Fitness - HMO
HDHP Preventive Silver 5500 $0 Chronic Care Drugs - HMO
Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services - HMO
Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services - HMO
Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
HSA Eligible Bronze 6000 - HMO
Low Premium Bronze 10600 $25 Generic Drugs - HMO
Low Premium Bronze 10600 $25 Generic Drugs + Adult Vision & Fitness - HMO
Low Premium Silver 6200 $3 Generic Drugs - HMO
Low Premium Silver 6200 $3 Generic Drugs + Adult Vision & Fitness - HMO
Platinum Zero $5 Generic Drugs - HMO
Platinum Zero $5 Generic Drugs + Adult Vision & Fitness - 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: TERRANCE E. WILSON
Authorized Official Title: CEO
Authorized Official Phone: (765) 502-4440

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, basic life support, emergency transport (bls-emergency)
Ground mileage, per statute mile

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: 15D2152904
Facility Type: Physician Office
Certificate Effective Date: August 20, 2024
Certificate Expiration Date: August 19, 2026
Laboratory Director: SEEMA SHANKAR KENGERI SRIKANTIAH
Certificate Type: Certificate of Waiver
Certificate Type Description: This CLIA certificate is issued to Tippecanoe Emergency Ambulance Service 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.

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 1245569144, we treat the final digit (4) 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 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).

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

Doubled → 2

Pos 2

Unchanged

Pos 3

Doubled → 8

Pos 4

Unchanged

Pos 5

Doubled → 10 → 1 + 0

Pos 6

Unchanged

Pos 7

Doubled → 18 → 1 + 8

Pos 8

Unchanged

Pos 9

Doubled → 8

Check

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 4 → 8 5 → 10 → 1 9 → 18 → 9 4 → 8

Step 2: Add all digits plus the NPI constant

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

2 + 2 + 8 + 5 + 1 + 0 + 6 + 1 + 8 + 1 + 8 + 24 = 66

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

The next multiple of ten after 66 is 70. The difference is the calculated check digit.

70 - 66 = 4

This NPI is valid

The calculated check digit is 4, which matches the last digit of 1245569144.