CALLAWAY RFD AMBULANCE – Ambulance, NPI 1477558625

CALLAWAY RFD AMBULANCE is a healthcare provider. based in Berwyn, Nebraska. specializing in Ambulance. The organization holds a License No. 1048 (NE). The NPI Number for CALLAWAY RFD AMBULANCE is 1477558625

Main info

Organization
Name
CALLAWAY RFD AMBULANCE
NPI
1477558625
Phone
(308) 935-1569
Address
403 CHATHAM AVE
Authorized Official
JON BROHMAN SECRETARY/TREASURER
Enumeration Date
15 June 2005
Last Update Date
1 October 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness90
Years active:20State licenses:1Digital endpoints

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Provider Addresses for CALLAWAY RFD AMBULANCE

  • 403, Chatham Avenue, Berwyn, Custer County, Nebraska, 68814, United States

    BERWYN, NE 688142723

    Phone: (308) 935-1569

    Fax: (308) 935-9131

    Type: Mailing

  • 112, East Kimball Street, Callaway, Custer County, Nebraska, 68825, United States

    CALLAWAY, NE 688252599

    Phone: (308) 836-2898

    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: 2018-08-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-08-31 (1015 days ago).

Enrollment records

1

Earliest due date

2023-08-31

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20180827003243OAmbulance Service SupplierNE2023-08-31

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
A0425Ground mileage, per statute mile9326$0
A0429Ambulance service, basic life support, emergency transport (bls-emergency)4026$0
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Insurance plans in this area (ZIP 68814)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for CALLAWAY RFD AMBULANCE?
CALLAWAY RFD AMBULANCE — NPI 1477558625 — is the standard way to identify this listing.
Is CALLAWAY RFD AMBULANCE listed as active for patients and plans?
The listing shows CALLAWAY RFD AMBULANCE as active in the NPI system.
What is CALLAWAY RFD AMBULANCE's primary classification?
Ambulance is the headline specialty for CALLAWAY RFD AMBULANCE here. Clinical services aligned with this taxonomy classification.
What address line appears for CALLAWAY RFD AMBULANCE?
CALLAWAY RFD AMBULANCE's geographic hint is Berwyn, Nebraska in our summary view.
Why does CALLAWAY RFD AMBULANCE have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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