ELLETTSVILLE FIRE DEPARTMENT
NPI 1447589312
Non-emergency Medical Transport (VAN) in Bloomington, IN

NPI Status: Active since December 23, 2009

Contact Information

5080 W STATE ROAD 46
BLOOMINGTON, IN
ZIP 47404
Phone: (812) 876-4819
Fax: (812) 876-0178

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  • Organization
  • Non-emergency Medical Transport (VAN)
  • CLIA Number: 15D0961885
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 06-22-2026

About ELLETTSVILLE FIRE DEPARTMENT

This page provides the complete NPI Profile along with additional information for Ellettsville Fire Department, a provider established in Bloomington, Indiana operating as a Non-emergency Medical Transport (van). The healthcare provider is registered in the NPI registry with number 1447589312 assigned on December 2009. The practitioner's primary taxonomy code is 343900000X with license number 1034 (IN). The provider is registered as an organization and their NPI record was last updated 16 years ago. The provider's is doing business as Ellettsville Fire Department. The authorized official of this NPI record is Michael D Cornman (Deputy Fire Chief)

NPI
1447589312
Provider Legal Name
CORPORATE TOWN OF ELLETTSVILLE FIRE DEPT.
Other Organization Name
ELLETTSVILLE FIRE DEPARTMENT
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
5080 W STATE ROAD 46 BLOOMINGTON, IN 47404
Location Phone
(812) 876-4819
Location Fax
(812) 876-0178
Mailing Address
5080 W STATE ROAD 46 BLOOMINGTON, IN 47404
Mailing Phone
(812) 876-4819
Mailing Fax
(812) 876-0178
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-23-2009
Last Update Date
12-23-2009
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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

Non-emergency Medical Transport (VAN)

Taxonomy Code
343900000X
Type
Transportation Services
License No.
1034
License State
IN
Taxonomy Description
A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations.

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

MICHAEL D CORNMAN

Authorized Official Title
DEPUTY FIRE CHIEF
Authorized Official Phone
(812) 876-4819

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
15D0961885
Facility Type
Physician Office
Certificate Effective Date
June 23, 2024
Certificate Expiration Date
June 22, 2026
Laboratory Director
CATHERINE SINKHORN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Ellettsville Fire Department 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 1447589312, we treat the final digit (2) 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 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).

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
4
Unchanged
Pos 3
4
Doubled → 8
Pos 4
7
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
8
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
3
Unchanged
Pos 9
1
Doubled → 2
Check
2
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 1 → 2

Step 2: Add all digits plus the NPI constant

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

2 + 4 + 8 + 7 + 1 + 0 + 8 + 1 + 8 + 3 + 2 + 24 = 68

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

The next multiple of ten after 68 is 70. The difference is the calculated check digit.

70 - 68 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1447589312.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1447589312, enumerated as an "organization" on December 23, 2009.

The provider is located at 5080 W STATE ROAD 46 BLOOMINGTON, IN 47404 and the phone number is (812) 876-4819.

Non-emergency Medical Transport (VAN) with taxonomy code 343900000X.