LOGANSPORT MEMORIAL HOSPITAL
NPI 1902048853
Ambulance - Land Transport in Logansport, IN

NPI Status: Active since March 24, 2009

Contact Information

1101 MICHIGAN AVE
LOGANSPORT, IN
ZIP 46947
Phone: (574) 753-1578

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  • Organization
  • Ambulance
  • Land Transport
  • CLIA Number: 15D2299219
  • CLIA Cert. Type: Ambulance
  • CLIA Exp. Date: 12-23-2026

About LOGANSPORT MEMORIAL HOSPITAL

This page provides the complete NPI Profile along with additional information for Logansport Memorial Hospital, a provider established in Logansport, Indiana operating as a Ambulance, focusing in land transport . The healthcare provider is registered in the NPI registry with number 1902048853 assigned on March 2009. The practitioner's primary taxonomy code is 3416L0300X with license number 0190 (IN). The provider is registered as an organization and their NPI record was last updated 17 years ago. The provider's other name is Logansport Memorial Hospital. The authorized official of this NPI record is Mike Deitrich Emt-p (Ems Coordinator)

NPI
1902048853
Provider Legal Name
CASS COUNTY EMS
Other Organization Name
LOGANSPORT MEMORIAL HOSPITAL
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
1101 MICHIGAN AVE LOGANSPORT, IN 46947
Location Phone
(574) 753-1578
Mailing Address
1101 MICHIGAN AVE LOGANSPORT, IN 46947
Mailing Phone
(574) 753-1578
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-24-2009
Last Update Date
03-24-2009
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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.
0190
License State
IN

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

MIKE DEITRICH EMT-P

Authorized Official Title
EMS COORDINATOR
Authorized Official Phone
(574) 753-1578

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
15D2299219
Facility Type
Ambulance
Certificate Effective Date
December 24, 2024
Certificate Expiration Date
December 23, 2026
Laboratory Director
DR. NATHAN F. MARCINKOWSKI
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Logansport Memorial Hospital on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

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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 1902048853, we treat the final digit (3) 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 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).

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
9
Unchanged
Pos 3
0
Doubled → 0
Pos 4
2
Unchanged
Pos 5
0
Doubled → 0
Pos 6
4
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
8
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
3
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 0 → 0 0 → 0 8 → 16 → 7 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

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

2 + 9 + 0 + 2 + 0 + 4 + 1 + 6 + 8 + 1 + 0 + 24 = 57

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

The next multiple of ten after 57 is 60. The difference is the calculated check digit.

60 - 57 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1902048853.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Dietitian, Registered
1101 MICHIGAN AVE
LOGANSPORT, IN 46947
Emergency Medicine
1101 MICHIGAN AVE
LOGANSPORT, IN 46947
Emergency Medicine
1101 MICHIGAN AVE
LOGANSPORT, IN 46947
Emergency Medicine
1101 MICHIGAN AVE
LOGANSPORT, IN 46947
Emergency Medicine
1101 MICHIGAN AVE
LOGANSPORT, IN 46947
Anesthesiology
1101 MICHIGAN AVE
LOGANSPORT, IN 46947
Nurse Practitioner (Family)
1101 MICHIGAN AVE
LOGANSPORT, IN 46947
Emergency Medicine
1101 MICHIGAN AVE
LOGANSPORT, IN 46947
Internal Medicine
1101 MICHIGAN AVE
LOGANSPORT, IN 46947
Registered Nurse (Diabetes Educator)
1101 MICHIGAN AVE
LOGANSPORT, IN 46947
Emergency Medicine
1101 MICHIGAN AVE
LOGANSPORT, IN 46947
Preventive Medicine (Preventive Medicine/Occupational Environmental Medicine)
1101 MICHIGAN AVE
LOGANSPORT, IN 46947
Orthopaedic Surgery
1101 MICHIGAN AVE
LOGANSPORT, IN 46947
Emergency Medicine
1101 MICHIGAN AVE
LOGANSPORT, IN 46947
Orthopaedic Surgery
1101 MICHIGAN AVE
LOGANSPORT, IN 46947
Nurse Practitioner (Family)
1101 MICHIGAN AVE
LOGANSPORT, IN 46947
Skilled Nursing Facility
1101 MICHIGAN AVE
LOGANSPORT, IN 46947
Internal Medicine
1101 MICHIGAN AVE
LOGANSPORT, IN 46947
Orthopaedic Surgery (Hand Surgery)
1101 MICHIGAN AVE
LOGANSPORT, IN 46947
Nurse Practitioner
1101 MICHIGAN AVE
LOGANSPORT, IN 46947

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1902048853, enumerated as an "organization" on March 24, 2009.

The provider is located at 1101 MICHIGAN AVE LOGANSPORT, IN 46947 and the phone number is (574) 753-1578.

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