BLYTHEVILLE CITIZENS BAND RADIO CLUB INC
NPI 1538170956
Ambulance in Blytheville, AR

NPI Status: Active since August 10, 2006

Contact Information

200 CHICKASAWBA ST
BLYTHEVILLE, AR
ZIP 72315
Phone: (870) 740-2248
Fax: (870) 763-6794

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  • Organization
  • Ambulance
  • CLIA Number: 04D0942154
  • CLIA Cert. Type: End Stage Renal Disease Dialysis Facility
  • CLIA Exp. Date: 03-05-2026

About BLYTHEVILLE CITIZENS BAND RADIO CLUB INC

This page provides the complete NPI Profile along with additional information for Blytheville Citizens Band Radio Club Inc, a provider established in Blytheville, Arkansas operating as a Ambulance. The healthcare provider is registered in the NPI registry with number 1538170956 assigned on August 2006. The practitioner's primary taxonomy code is 341600000X. The provider is registered as an organization and their NPI record was last updated 14 years ago. The authorized official of this NPI record is Mr. Mike Godsey (Chief)

NPI
1538170956
Provider Name
BLYTHEVILLE CITIZENS BAND RADIO CLUB INC
Entity Type
Organization
Location Address
200 CHICKASAWBA ST BLYTHEVILLE, AR 72315
Location Phone
(870) 740-2248
Location Fax
(870) 763-6794
Mailing Address
200 CHICKASAWBA ST BLYTHEVILLE, AR 72315
Mailing Phone
(870) 740-2248
Mailing Fax
(870) 763-6794
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-10-2006
Last Update Date
01-27-2012
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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).

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)
1341600000XTransportation Services

Ambulance

368 (AR)

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.

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

MR. MIKE GODSEY

Authorized Official Title
CHIEF
Authorized Official Phone
(870) 740-2248

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
49197MEDICARE ID-TYPE UNSPECIFIED (04)AR 

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
04D0942154
Facility Type
End Stage Renal Disease Dialysis Facility
Certificate Effective Date
March 06, 2024
Certificate Expiration Date
March 05, 2026
Laboratory Director
JACINTO A. HERNANDEZ
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Blytheville Citizens Band Radio Club Inc 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 1538170956, 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 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 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
3
Doubled → 6
Pos 4
8
Unchanged
Pos 5
1
Doubled → 2
Pos 6
7
Unchanged
Pos 7
0
Doubled → 0
Pos 8
9
Unchanged
Pos 9
5
Doubled → 10 → 1 + 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 3 → 6 1 → 2 0 → 0 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

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

2 + 5 + 6 + 8 + 2 + 7 + 0 + 9 + 1 + 0 + 24 = 64

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

The next multiple of ten after 64 is 70. The difference is the calculated check digit.

70 - 64 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1538170956.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1538170956, enumerated as an "organization" on August 10, 2006.

The provider is located at 200 CHICKASAWBA ST BLYTHEVILLE, AR 72315 and the phone number is (870) 740-2248.

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.