SULLIVAN COUNTY AMBULANCE DISTRICT – Land Ambulance, NPI 1790781136
Land Ambulance
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for SULLIVAN COUNTY AMBULANCE DISTRICT
113, Leewood Drive, Milan, Sullivan County, Missouri, 63556, United States
# 1
MILAN, MO 635561100
Phone: (660) 265-3553
Fax: (660) 265-3651
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: 2008-10-10
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-03-31 (803 days ago).
Enrollment records
1
Earliest due date
2024-03-31
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 |
|---|---|---|---|---|
| O20081010000777 | O | Ambulance Service Supplier | MO | 2024-03-31 |
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 | 90,349 | 165 | $0 |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 195 | 140 | $0 |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 92 | 57 | $0 |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 18 | 11 | $0 |
Insurance plans in this area (ZIP 63556)
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