SOUTH LINCOLN AMBULANCE ASSOCIATION
NPI 1811999535
Emergency Medical Technician, Paramedic in Yachats, OR
NPI Status: Active since August 12, 2005
Contact Information
215 W 2ND ST
YACHATS, OR
ZIP 97498
Phone: (541) 547-3266
Fax: (541) 547-4257
- Organization
- Emergency Medical Technician, Paramedic
- CLIA Number: 38D0962276
- CLIA Cert. Type: Mobile Laboratory
- CLIA Exp. Date: 12-31-2027
About SOUTH LINCOLN AMBULANCE ASSOCIATION
This page provides the complete NPI Profile along with additional information for South Lincoln Ambulance Association, a provider established in Yachats, Oregon operating as a Emergency Medical Technician, Paramedic. The healthcare provider is registered in the NPI registry with number 1811999535 assigned on August 2005. The practitioner's primary taxonomy code is 146L00000X with license number 2112-06 (OR). The provider is registered as an organization and their NPI record was last updated 13 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's other name is South Lincoln Ambulance Association. The authorized official of this NPI record is Ms. Frances M Petrick (Ambulance Chief)
- NPI
- 1811999535
- Provider Legal Name
- SOUTH LINCOLN AMBULANCE INC.
- Other Organization Name
- SOUTH LINCOLN AMBULANCE ASSOCIATION
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 215 W 2ND ST YACHATS, OR 97498
- Location Phone
- (541) 547-3266
- Location Fax
- (541) 547-4257
- Mailing Address
- PO BOX 31 YACHATS, OR 97498
- Mailing Phone
- (541) 547-3766
- Mailing Fax
- (541) 547-4257
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-12-2005
- Last Update Date
- 12-27-2012
- 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
Emergency Medical Technician, Paramedic
- Taxonomy Code
- 146L00000X
- Type
- Emergency Medical Service Providers
- License No.
- 2112-06
- License State
- OR
- Taxonomy Description
- An EMT, Paramedic is an individual trained and certified to perform advanced life support (ALS) in medical emergencies based on individual state boards.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
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.
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.
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 |
|---|---|---|---|
| 189407 | MEDICAID (05) | OR | |
| 006352000 | OTHER (01) | OR | BCBS |
| R0000RGBGS | MEDICARE ID-TYPE UNSPECIFIED (04) | OR |
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 59 times for 51 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 53 times for 37 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 2,548 times for 77 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
- 38D0962276
- Facility Type
- Mobile Laboratory
- Certificate Effective Date
- January 01, 2026
- Certificate Expiration Date
- December 31, 2027
- Laboratory Director
- FRANKIE PETRICK
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to South Lincoln Ambulance Association 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 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 1811999535, 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 75. The final step is to find the difference between that total and the next multiple of ten (80 - 75 = 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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 75 is 80. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1811999535, enumerated as an "organization" on August 12, 2005.
The provider is located at 215 W 2ND ST YACHATS, OR 97498 and the phone number is (541) 547-3266.
Emergency Medical Technician, Paramedic with taxonomy code 146L00000X.
The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to verify.
