MIMS VFD & AMBULANCE
NPI 1639206899
Ambulance - Land Transport in Avinger, TX

NPI Status: Active since February 27, 2007

Contact Information

12728 FM 729
AVINGER, TX
ZIP 75630
Phone: (903) 755-4112
Fax: (903) 755-3219

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  • Organization
  • Ambulance
  • Land Transport
  • CLIA Number: 45D1030422
  • CLIA Cert. Type: Ambulance
  • CLIA Exp. Date: 09-06-2026

About MIMS VFD & AMBULANCE

This page provides the complete NPI Profile along with additional information for Mims Vfd & Ambulance, a provider established in Avinger, Texas operating as a Ambulance, focusing in land transport . The healthcare provider is registered in the NPI registry with number 1639206899 assigned on February 2007. The practitioner's primary taxonomy code is 3416L0300X with license number 300161 (TX). The provider is registered as an organization and their NPI record was last updated 13 years ago. The provider's is doing business as Mims Vfd & Ambulance. The authorized official of this NPI record is Ms. June Rose (Secretary/treasurer)

NPI
1639206899
Provider Legal Name
MIMS VOLUNTEER FIRE DEPARTMENT
Other Organization Name
MIMS VFD & AMBULANCE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
12728 FM 729 AVINGER, TX 75630
Location Phone
(903) 755-4112
Location Fax
(903) 755-3219
Mailing Address
12728 FM 729 AVINGER, TX 75630
Mailing Phone
(903) 755-4112
Mailing Fax
(903) 755-3219
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-27-2007
Last Update Date
10-25-2012
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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 Land Transport

Taxonomy Code
3416L0300X
Type
Transportation Services
License No.
300161
License State
TX

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

MS. JUNE ROSE

Authorized Official Title
SECRETARY/TREASURER
Authorized Official Phone
(903) 755-4112

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
0000457-01MEDICAID (05)TX 
505130MEDICARE ID-TYPE UNSPECIFIED (04)TXPROVIDER NUMBER

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.

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 16 times for 15 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 54 times for 35 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 2,288 times for 44 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
45D1030422
Facility Type
Ambulance
Certificate Effective Date
September 07, 2024
Certificate Expiration Date
September 06, 2026
Laboratory Director
ROBERT PAUL IKERD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Mims Vfd & Ambulance 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 MIMS VFD & AMBULANCE

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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.
1639206899
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26694012818
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 6 + 9 + 4 + 0 + 1 + 2 + 8 + 1 + 8 + 24 = 71
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 71 = 99

The NPI number 1639206899 is valid because the calculated check digit 9 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 1639206899, enumerated as an "organization" on February 27, 2007.

The provider is located at 12728 FM 729 AVINGER, TX 75630 and the phone number is (903) 755-4112.

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

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