ERICK AMBULANCE SERVICE
NPI 1710091269
Ambulance - Land Transport in Erick, OK

NPI Status: Active since August 19, 2006

Contact Information

415 E ROGER MILLER
ERICK, OK
ZIP 73645
Phone: (580) 526-3924
Fax: (580) 526-3830

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  • Organization
  • Ambulance
  • Land Transport
  • Accepts Insurance
  • CLIA Number: 37D0953332
  • CLIA Cert. Type: Mobile Laboratory
  • CLIA Exp. Date: 10-29-2026

About ERICK AMBULANCE SERVICE

This page provides the complete NPI Profile along with additional information for Erick Ambulance Service, a provider established in Erick, Oklahoma operating as a Ambulance, focusing in land transport . The healthcare provider is registered in the NPI registry with number 1710091269 assigned on August 2006. The practitioner's primary taxonomy code is 3416L0300X with license number EMS034 (OK). The provider is registered as an organization and their NPI record was last updated 16 years ago. The provider's is doing business as Erick Ambulance Service. The authorized official of this NPI record is Elizabeth Marie Forgay (Emt)

NPI
1710091269
Provider Legal Name
CITY OF ERICK
Other Organization Name
ERICK AMBULANCE SERVICE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
415 E ROGER MILLER ERICK, OK 73645
Location Phone
(580) 526-3924
Location Fax
(580) 526-3830
Mailing Address
PO BOX 25 206 S SHEB WOOLEY ERICK, OK 73645
Mailing Phone
(580) 526-3924
Mailing Fax
(580) 526-3830
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-19-2006
Last Update Date
10-27-2010
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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.
EMS034
License State
OK

Insurance Plans Accepted

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

  • Blue Advantage Bronze PPO? 202 - PPO
  • Blue Advantage Bronze PPO? 203 - PPO
  • Blue Advantage Bronze PPO? Standard - PPO
  • Blue Advantage Gold PPO? 309 - PPO
  • Blue Advantage Gold PPO? 604 - PPO
  • Blue Advantage Gold PPO? Standard - PPO
  • Blue Advantage Silver PPO? 204 - PPO
  • Blue Advantage Silver PPO? 501 - PPO
  • Blue Advantage Silver PPO? Standard - PPO
  • Blue Preferred Bronze PPO? Standard - PPO
  • Blue Preferred Gold PPO? Standard - PPO
  • Blue Preferred Security PPO? 200 - PPO
  • Blue Preferred Silver PPO? Standard - PPO

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

ELIZABETH MARIE FORGAY

Authorized Official Title
EMT
Authorized Official Phone
(580) 526-3924

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
=========-001OTHER (01)OKBC/BS
100819750AMEDICAID (05)OK 
=========MEDICARE PIN (08) 
=========MEDICARE ID-TYPE UNSPECIFIED (04)OK 

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, 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 42 times for 27 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 1,429 times for 31 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
37D0953332
Facility Type
Mobile Laboratory
Certificate Effective Date
October 30, 2024
Certificate Expiration Date
October 29, 2026
Laboratory Director
TREVA J. GRAHAM
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Erick Ambulance Service 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 ERICK AMBULANCE SERVICE

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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 1710091269, we treat the final digit (9) 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 51. The final step is to find the difference between that total and the next multiple of ten (60 - 51 = 9).

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

Step 2: Add all digits plus the NPI constant

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

2 + 7 + 2 + 0 + 0 + 9 + 2 + 2 + 1 + 2 + 24 = 51

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

The next multiple of ten after 51 is 60. The difference is the calculated check digit.

60 - 51 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1710091269.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710091269, enumerated as an "organization" on August 19, 2006.

The provider is located at 415 E ROGER MILLER ERICK, OK 73645 and the phone number is (580) 526-3924.

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

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