RANDLE EASTERN AMBULANCE SERVICE INC NPI 1306896790

NPI Information

NPI: 1306896790
Provider Name: RANDLE EASTERN AMBULANCE SERVICE INC
Classification: Ambulance - 341600000X
Entity Type: Organization
:
CLIA Number: 10D2096043
Address: 12600 NW 107TH AVE
MEDLEY, FL
ZIP 33178
Phone: (305) 718-6400

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NPI Details

RANDLE EASTERN AMBULANCE SERVICE INC is an ambulance in Medley, FL. The provider is an emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane). RANDLE EASTERN AMBULANCE SERVICE INC NPI is 1306896790. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

12600 NW 107TH AVE
MEDLEY, FL
ZIP 33178-121
Phone: (305) 718-6400
Fax: (305) 640-1557

The provider's authorized official is Timothy Joseph Dorn .
The authorized official title is Chief Administrative Officer and has the following contact phone number (833) 703-2294.

The CLIA number assigned to this NPI record is 10D2096043 - ambulance with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

Ground mileage, per statute mile (HCPCS:A0425)
Ambulance service, basic life support, emergency transport (bls-emergency) (HCPCS:A0429)
Ambulance service, basic life support, non-emergency transport, (bls) (HCPCS:A0428)
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) (HCPCS:A0427)
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) (HCPCS:A0426)
Specialty care transport (sct) (HCPCS:A0434)

The enumeration date for this NPI number is 5/10/2006 and was last updated on 9/16/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	3416L0300X	Ambulance	Land Transport			No
2	341600000X	Ambulance				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	088101500	MEDICAID	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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