Great River Medical Center – Basic Emergency Medical Technician, NPI 1164433884
Basic Emergency Medical Technician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Great River Medical Center
Great River Medical Center Campus, 1221, South Gear Avenue, West Burlington, Des Moines County, Iowa, 52655, United States
WEST BURLINGTON, IA 526551679
Phone: (319) 768-3626
Fax: (319) 768-3633
Mailing address matches the actual address.
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: 2026-02-12
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Revalidation due soon
Earliest CMS due date is 2026-08-31 (79 days away).
Enrollment records
32
Earliest due date
2026-08-31
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 |
|---|---|---|---|---|
| O20210730002920 | O | Clinic/Group Practice | MI | 2026-09-30 |
| O20210805002983 | O | Clinic/Group Practice | PA | 2026-08-31 |
| O20210819000657 | O | Clinic/Group Practice | SC | 2026-10-31 |
| O20210827000240 | O | Clinic/Group Practice | NC | TBD |
| O20210827000339 | O | Clinic/Group Practice | DE | TBD |
| O20210827000881 | O | Clinic/Group Practice | NJ | TBD |
| O20210831003686 | O | Clinic/Group Practice | TX | TBD |
| O20210901000449 | O | Clinic/Group Practice | DC | TBD |
| O20210901002509 | O | Clinic/Group Practice | HI | TBD |
| O20210929003078 | O | Clinic/Group Practice | CO | TBD |
| O20211011000589 | O | Clinic/Group Practice | MN | TBD |
| O20211102002932 | O | Clinic/Group Practice | FL | TBD |
| O20220228002717 | O | Clinic/Group Practice | OH | TBD |
| O20220609002777 | O | Clinic/Group Practice | IL | TBD |
| O20220617000572 | O | Clinic/Group Practice | CA | TBD |
| O20220621001994 | O | Clinic/Group Practice | AZ | TBD |
| O20220802003093 | O | Clinic/Group Practice | WA | TBD |
| O20220803002112 | O | Clinic/Group Practice | NV | TBD |
| O20221004001202 | O | Clinic/Group Practice | GA | TBD |
| O20250326000982 | O | Clinic/Group Practice | MD | TBD |
| O20250328000335 | O | Clinic/Group Practice | MA | TBD |
| O20250422000553 | O | Clinic/Group Practice | NM | TBD |
| O20250513000546 | O | Clinic/Group Practice | UT | TBD |
| O20250707003434 | O | Clinic/Group Practice | MO | TBD |
| O20250821004535 | O | Clinic/Group Practice | NY | TBD |
| O20250902003212 | O | Clinic/Group Practice | NE | TBD |
| O20251121000116 | O | Clinic/Group Practice | NH | TBD |
| O20260109001830 | O | Clinic/Group Practice | CT | TBD |
| O20260109002997 | O | Clinic/Group Practice | TN | TBD |
| O20260114001771 | O | Clinic/Group Practice | IN | TBD |
| O20260121002425 | O | Clinic/Group Practice | VA | TBD |
| O20260212000960 | O | Clinic/Group Practice | AL | TBD |
What to do next
- Confirm the due date on the CMS Revalidation Lookup Tool.
- Complete revalidation in PECOS before the published due date.
- If you have multiple enrollment records, revalidate each one on its own schedule.
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 52655)
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