MEDICAL CENTER AMBULANCE SERVICE INC
NPI 1548267727
Ambulance - Land Transport in Madisonville, KY

NPI Status: Active since July 04, 2005

Contact Information

629 LAFFOON ST
MADISONVILLE, KY
ZIP 42431
Phone: (270) 821-1294
Fax: (270) 825-9452

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  • Organization
  • Ambulance
  • Land Transport
  • CLIA Number: 18D0708930
  • CLIA Cert. Type: Other
  • CLIA Exp. Date: 08-31-2026

About MEDICAL CENTER AMBULANCE SERVICE INC

This page provides the complete NPI Profile along with additional information for Medical Center Ambulance Service Inc, a provider established in Madisonville, Kentucky operating as a Ambulance, focusing in land transport . The healthcare provider is registered in the NPI registry with number 1548267727 assigned on July 2005. The practitioner's primary taxonomy code is 3416L0300X with license number 1413 (KY). 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 Jonathan Luck (Director Of Operations)

NPI
1548267727
Provider Name
MEDICAL CENTER AMBULANCE SERVICE INC
Entity Type
Organization
Location Address
629 LAFFOON ST MADISONVILLE, KY 42431
Location Phone
(270) 821-1294
Location Fax
(270) 825-9452
Mailing Address
PO BOX 9150 PADUCAH, KY 42002
Mailing Phone
(270) 744-9600
Mailing Fax
(270) 825-9452
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-04-2005
Last Update Date
02-07-2022
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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.
1413
License State
KY

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

1413 (KY)

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

JONATHAN LUCK

Authorized Official Title
DIRECTOR OF OPERATIONS
Authorized Official Phone
(270) 821-1294

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
4581387MEDICAID (05)TN 
56004351MEDICAID (05)KY 
55054035MEDICAID (05)KY 

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Advanced life support, level 2 (als 2)

Advanced Life Support Level 2 (ALS 2) is a medical service provided during emergencies. It involves advanced procedures like defibrillation, medication administration or endotracheal intubation by trained professionals to stabilize critical patients.

This service was performed 14 times for 14 patients

Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)

Ambulance Service, Advanced Life Support, Level 1 (ALS 1 - Emergency) is a critical care transport service for emergency situations. It includes a team of healthcare professionals equipped with advanced skills and tools to manage life-threatening conditions during transport.

This service was performed 844 times for 551 patients

Ambulance service, advanced life support, non-emergency transport, level 1 (als 1)

Ambulance Service, Advanced Life Support, Non-Emergency Transport, Level 1 (ALS 1) is a medical transportation service for patients who don't have an immediate life-threatening condition but require advanced medical monitoring or interventions during the journey.

This service was performed 29 times for 28 patients

Ambulance service, basic life support, emergency transport (bls-emergency)

Ambulance service with basic life support (BLS-Emergency) provides immediate transport for patients in critical situations. Medical professionals on board deliver essential care like CPR, wound dressing, and oxygen therapy to stabilize patients during the journey.

This service was performed 732 times for 484 patients

Ambulance service, basic life support, non-emergency transport, (bls)

Basic Life Support (BLS) non-emergency ambulance service provides safe transportation for patients who don't need immediate medical attention. It includes monitoring vital signs, ensuring comfort, and administering basic care during transport.

This service was performed 513 times for 282 patients

Ground mileage, per statute mile

Ground mileage per statute mile is a method of calculating the cost of transportation for medical services. It is used when a patient needs to be transported by ground ambulance. The cost is calculated per mile, from the pick-up location to the medical facility.

This service was performed 22,724 times for 937 patients

Specialty care transport (sct)

Specialty Care Transport (SCT) is a level of medical transport service for critically ill or injured patients. It involves healthcare professionals with advanced skills and equipment to provide continuous care during transport, ensuring patient's safety and well-being.

This service was performed 17 times for 16 patients

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
18D0708930
Facility Type
Other
Certificate Effective Date
September 01, 2024
Certificate Expiration Date
August 31, 2026
Laboratory Director
MR. JON LUCK
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Medical Center Ambulance Service 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.

Reviews for MEDICAL CENTER AMBULANCE SERVICE INC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1548267727
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2588461474
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 8 + 8 + 4 + 6 + 1 + 4 + 7 + 4 + 24 = 73
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 73 = 77

The NPI number 1548267727 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1548267727, enumerated in the NPI registry as an "organization" on July 04, 2005

The provider is located at 629 Laffoon St Madisonville, Ky 42431 and the phone number is (270) 821-1294

This medical organization specializes in Ambulance with taxonomy code 3416L0300X with a focus in Land Transport

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The most common procedures or services performed by this practitioner are: Advanced life support, level 2 (als 2), Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency), Ambulance service, advanced life support, non-emergency transport, level 1 (als 1), Ambulance service, basic life support, emergency transport (bls-emergency), Ambulance service, basic life support, non-emergency transport, (bls), Ground mileage, per statute mile and Specialty care transport (sct).

The provider's CLIA number is 18D0708930 for a "other" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued 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..

This NPI record was last updated on July 04, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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