MONTGOMERY COUNTY
NPI 1366122616
Ambulance in Fultonville, NY

NPI Status: Active since July 21, 2023

Contact Information

200 CLARK DR
FULTONVILLE, NY
ZIP 12072
Phone: (518) 853-5500
Fax: (518) 853-4096

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  • Organization
  • Ambulance
  • CLIA Number: 33D2270590
  • CLIA Cert. Type: Prison
  • CLIA Exp. Date: 03-26-2027

About MONTGOMERY COUNTY

This page provides the complete NPI Profile along with additional information for Montgomery County, a provider established in Fultonville, New York operating as a Ambulance. The healthcare provider is registered in the NPI registry with number 1366122616 assigned on July 2023. The practitioner's primary taxonomy code is 341600000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Justin C Smith (Sargent)

NPI
1366122616
Provider Name
MONTGOMERY COUNTY
Entity Type
Organization
Location Address
200 CLARK DR FULTONVILLE, NY 12072
Location Phone
(518) 853-5500
Location Fax
(518) 853-4096
Mailing Address
PO BOX 787 LATHAM, NY 12110
Mailing Phone
(888) 603-2455
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
07-21-2023
Last Update Date
07-21-2023
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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
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).

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

JUSTIN C SMITH

Authorized Official Title
SARGENT
Authorized Official Phone
(518) 853-5500

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
33D2270590
Facility Type
Prison
Certificate Effective Date
October 18, 2022
Certificate Expiration Date
March 26, 2027
Laboratory Director
MICHAEL GANDT
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Montgomery County 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.

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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 1366122616, we treat the final digit (6) 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 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).

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
3
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
6
Unchanged
Pos 5
1
Doubled → 2
Pos 6
2
Unchanged
Pos 7
2
Doubled → 4
Pos 8
6
Unchanged
Pos 9
1
Doubled → 2
Check
6
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 6 → 12 → 3 1 → 2 2 → 4 1 → 2

Step 2: Add all digits plus the NPI constant

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

2 + 3 + 1 + 2 + 6 + 2 + 2 + 4 + 6 + 2 + 24 = 54

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

The next multiple of ten after 54 is 60. The difference is the calculated check digit.

60 - 54 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1366122616.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366122616, enumerated as an "organization" on July 21, 2023.

The provider is located at 200 CLARK DR FULTONVILLE, NY 12072 and the phone number is (518) 853-5500.

Ambulance with taxonomy code 341600000X.