CITY OF FAIRFAX – Ambulance, NPI 1770580664
Ambulance
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for CITY OF FAIRFAX
1st Street, Fairfax, Los Angeles, Los Angeles County, California, 90036, United States
FAIRFAX, MN 553320911
Phone: (507) 426-7255
Type: Mailing
112, 1st Street Southeast, Fairfax, Renville County, Minnesota, 55332, United States
FAIRFAX, MN 553320911
Phone: (507) 426-7255
Type: Location
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: 2013-03-13
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-06-30 (712 days ago).
Enrollment records
1
Earliest due date
2024-06-30
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 |
|---|---|---|---|---|
| O20130313000420 | O | Ambulance Service Supplier | MN | 2024-06-30 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| A0425 | Ground mileage, per statute mile | 13,822 | 40 | $0 |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 59 | 40 | $0 |
Insurance plans in this area (ZIP 55332)
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