PROFESSIONAL MEDICAL RESPONSE, LLC
NPI 1558029165
Ambulance - Land Transport in Shohola, PA

NPI Status: Active since November 30, 2021

Contact Information

137 MAPLE DRIVE
SHOHOLA, PA
ZIP 18458
Phone: (570) 241-9070
Fax: (570) 686-0010

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  • Organization
  • Ambulance
  • Land Transport
  • Accepts Insurance

About PROFESSIONAL MEDICAL RESPONSE, LLC

This page provides the complete NPI Profile along with additional information for Professional Medical Response, Llc, a provider established in Shohola, Pennsylvania operating as a Ambulance, focusing in land transport . The healthcare provider is registered in the NPI registry with number 1558029165 assigned on November 2021. The practitioner's primary taxonomy code is 3416L0300X. 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 Kyle Mihalik (Ceo)

NPI
1558029165
Provider Name
PROFESSIONAL MEDICAL RESPONSE, LLC
Entity Type
Organization
Location Address
137 MAPLE DRIVE SHOHOLA, PA 18458
Location Phone
(570) 241-9070
Location Fax
(570) 686-0010
Mailing Address
409 PORTER AVE SCOTTDALE, PA 15683
Mailing Phone
(724) 887-6822
Mailing Fax
(570) 686-0010
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-30-2021
Last Update Date
03-29-2023
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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 Land Transport

Taxonomy Code
3416L0300X
Type
Transportation Services

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Clear Gold - HMO
  • Clear Gold + Vision + Adult Dental - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Silver - HMO
  • Complete Silver + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Focused Silver + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Clear Gold - EPO
  • Clear Gold + Vision + Adult Dental - EPO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Elite Silver - EPO
  • Elite Silver + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Principal Bronze HSA - EPO
  • Principal Bronze HSA + Vision + Adult Dental - EPO
  • Standard Expanded Bronze - EPO
  • Standard Expanded Bronze + Vision + Adult Dental - EPO
  • Standard Gold - EPO
  • Standard Gold + Vision + Adult Dental - EPO
  • Standard Silver - EPO

*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

KYLE MIHALIK

Authorized Official Title
CEO
Authorized Official Phone
(570) 468-3123

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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 1558029165, we treat the final digit (5) 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 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).

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
5
Doubled → 10 → 1 + 0
Pos 4
8
Unchanged
Pos 5
0
Doubled → 0
Pos 6
2
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
1
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
5
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 5 → 10 → 1 0 → 0 9 → 18 → 9 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

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

2 + 5 + 1 + 0 + 8 + 0 + 2 + 1 + 8 + 1 + 1 + 2 + 24 = 55

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

The next multiple of ten after 55 is 60. The difference is the calculated check digit.

60 - 55 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1558029165.

Other Providers at the Same Location


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

Ambulance (Land Transport)
137 MAPLE DRIVE
SHOHOLA, PA 18458

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1558029165, enumerated as an "organization" on November 30, 2021.

The provider is located at 137 MAPLE DRIVE SHOHOLA, PA 18458 and the phone number is (570) 241-9070.

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

The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter Health. Please consult your insurance carrier or call the provider to verify.