NORTH ROUTT FIRE PROTECTION DISTRICT – Land Ambulance, NPI 1881680197
Land Ambulance
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for NORTH ROUTT FIRE PROTECTION DISTRICT
54454 RCR 129
CLARK, CO 80428
Phone: (402) 572-4019
Fax: (402) 965-8594
Type: Location
10802 FARNAM DR
OMAHA, NE 681543237
Phone: (877) 218-4392
Fax: (877) 343-0131
Type: Mailing
61915 RCR 129
CLARK, CO 804289711
Phone: (877) 218-4392
Fax: (877) 343-0131
Type: Location
54545 COUNTY RD 129
CLARK, CO 804289712
Phone: (402) 572-4019
Fax: (402) 965-8594
Type: Location
PO BOX 758
CLARK, CO 804280758
Phone: (402) 572-4019
Fax: (402) 965-8594
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2009-06-02
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Revalidation scheduled
Earliest CMS due date is 2026-09-30 (110 days away).
Enrollment records
1
Earliest due date
2026-09-30
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20090602000619 | O | Ambulance Service Supplier | CO | 2026-09-30 |
What to do next
- Monitor the published due date as it approaches.
- Plan to revalidate in PECOS within the window CMS allows before the due date.
- Verify the date on the CMS Revalidation Lookup Tool before submitting.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 80428)
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