POTTERVILLE BENTON TOWNSHIP FIRE
NPI 1508808106
Ambulance - Land Transport in Potterville, MI

NPI Status: Active since June 11, 2006

Contact Information

4713 HARTEL RD
POTTERVILLE, MI
ZIP 48876
Phone: (517) 231-3653

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  • Organization
  • Ambulance
  • Land Transport
  • CLIA Number: 23D1040078
  • CLIA Cert. Type: Ambulance
  • CLIA Exp. Date: 04-28-2027

About POTTERVILLE BENTON TOWNSHIP FIRE

This page provides the complete NPI Profile along with additional information for Potterville Benton Township Fire, a provider established in Potterville, Michigan operating as a Ambulance, focusing in land transport . The healthcare provider is registered in the NPI registry with number 1508808106 assigned on June 2006. The practitioner's primary taxonomy code is 3416L0300X with license number 231002 (MI). 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 Jack Fox (Fire Chief)

NPI
1508808106
Provider Name
POTTERVILLE BENTON TOWNSHIP FIRE
Entity Type
Organization
Location Address
4713 HARTEL RD POTTERVILLE, MI 48876
Location Phone
(517) 231-3653
Mailing Address
1701 LAKE LANSING RD SUITE 100 LANSING, MI 48912
Mailing Phone
(517) 485-0001
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-11-2006
Last Update Date
08-22-2020
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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
License No.
231002
License State
MI

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.

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.

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

JACK FOX

Authorized Official Title
FIRE CHIEF
Authorized Official Phone
(517) 231-3653

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
3003310MEDICAID (05)MI 
590B30011OTHER (01)MIBLUE CROSS BLUE SHIELD

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
23D1040078
Facility Type
Ambulance
Certificate Effective Date
April 29, 2025
Certificate Expiration Date
April 28, 2027
Laboratory Director
JACK W. FOX
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Potterville Benton Township Fire 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 1508808106, 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
5
Unchanged
Pos 3
0
Doubled → 0
Pos 4
8
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
0
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
1
Unchanged
Pos 9
0
Doubled → 0
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 0 → 0 8 → 16 → 7 8 → 16 → 7 0 → 0

Step 2: Add all digits plus the NPI constant

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

2 + 5 + 0 + 8 + 1 + 6 + 0 + 1 + 6 + 1 + 0 + 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 1508808106.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Ambulance (Land Transport)
4713 HARTEL RD
POTTERVILLE, MI 48876

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1508808106, enumerated as an "organization" on June 11, 2006.

The provider is located at 4713 HARTEL RD POTTERVILLE, MI 48876 and the phone number is (517) 231-3653.

Ambulance with taxonomy code 3416L0300X and a focus in Land Transport.

The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to verify.