CITY OF JEFFERSON
NPI 1770697153
Ambulance - Land Transport in Jefferson, WI
NPI Status: Active since August 19, 2006
Contact Information
351 E RACINE ST
JEFFERSON, WI
ZIP 53549
Phone: (920) 674-2751
- Organization
- Ambulance
- Land Transport
- CLIA Number: 52D0989084
- CLIA Cert. Type: Ambulance
- CLIA Exp. Date: 07-16-2025
About CITY OF JEFFERSON
This page provides the complete NPI Profile along with additional information for City Of Jefferson, a provider established in Jefferson, Wisconsin operating as a Ambulance, focusing in land transport . The healthcare provider is registered in the NPI registry with number 1770697153 assigned on August 2006. The practitioner's primary taxonomy code is 3416L0300X. The provider is registered as an organization and their NPI record was last updated one year ago. The provider's
- NPI
- 1770697153
- Provider Legal Name
- CITY OF JEFFERSON
- Other Organization Name
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 351 E RACINE ST JEFFERSON, WI 53549
- Location Phone
- (920) 674-2751
- Mailing Address
- PO BOX 547 WHEELING, IL 60090
- Mailing Phone
- (847) 305-5236
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-19-2006
- Last Update Date
- 01-29-2025
- Code Navigator
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
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, basic life support, emergency transport (bls-emergency)
Ground mileage, per statute mile
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 230 times for 175 patientsAmbulance 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 133 times for 106 patientsGround 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 2,852 times for 250 patientsCLIA 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
- 52D0989084
- Facility Type
- Ambulance
- Certificate Effective Date
- July 17, 2023
- Certificate Expiration Date
- July 16, 2025
- Laboratory Director
- DR. JAY MACNEAL
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to City Of Jefferson 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 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. | |||||||||
| 1 | 7 | 7 | 0 | 6 | 9 | 7 | 1 | 5 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 14 | 0 | 12 | 9 | 14 | 1 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 4 + 0 + 1 + 2 + 9 + 1 + 4 + 1 + 1 + 0 + 24 = 57 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 57 = 3 | 3 | ||||||||
The NPI number 1770697153 is valid because the calculated check digit 3 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 1770697153, enumerated as an "organization" on August 19, 2006.
The provider is located at 351 E RACINE ST JEFFERSON, WI 53549 and the phone number is (920) 674-2751.
Ambulance with taxonomy code 3416L0300X and a focus in Land Transport.
