ST LUKES ELMORE
NPI 1477954204
Ambulance in Mountain Home, ID
NPI Status: Active since September 11, 2014
Contact Information
895 N 6TH E
MOUNTAIN HOME, ID
ZIP 83647
Phone: (208) 587-8401
- Organization
- Ambulance
- CLIA Number: 13D2189985
- CLIA Cert. Type: Skilled Nursing Facility/Nursing Facility
- CLIA Exp. Date: 08-06-2026
About ST LUKES ELMORE
This page provides the complete NPI Profile along with additional information for St Lukes Elmore, a provider established in Mountain Home, Idaho operating as a Ambulance. The healthcare provider is registered in the NPI registry with number 1477954204 assigned on September 2014. The practitioner's primary taxonomy code is 341600000X with license number 6919 (ID). The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's is doing business as St Lukes Elmore. The authorized official of this NPI record is Jeff Taylor (Treasurer)
- NPI
- 1477954204
- Provider Legal Name
- ST LUKES REGIONAL MEDICAL CENTER
- Other Organization Name
- ST LUKES ELMORE
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 895 N 6TH E MOUNTAIN HOME, ID 83647
- Location Phone
- (208) 587-8401
- Mailing Address
- PO BOX 2777 BOISE, ID 83701
- Mailing Phone
- (208) 381-2222
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-11-2014
- Last Update Date
- 09-29-2016
- 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
- Taxonomy Code
- 341600000X
- Type
- Transportation Services
- License No.
- 6919
- License State
- ID
- 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).
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 3416L0300X | Transportation Services | Ambulance | 6919 (ID) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 131311 | MEDICARE OSCAR/CERTIFICATION (06) | ID |
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
- 13D2189985
- Facility Type
- Skilled Nursing Facility/Nursing Facility
- Certificate Effective Date
- August 07, 2024
- Certificate Expiration Date
- August 06, 2026
- Laboratory Director
- MEGAN SANDMANN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to St Lukes Elmore 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 1477954204, 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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
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.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
MOUNTAIN HOME, ID 83647
MOUNTAIN HOME, ID 83647
MOUNTAIN HOME, ID 83647
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1477954204, enumerated as an "organization" on September 11, 2014.
The provider is located at 895 N 6TH E MOUNTAIN HOME, ID 83647 and the phone number is (208) 587-8401.
Ambulance with taxonomy code 341600000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
