BLAINE COUNTY RESCUE SQUAD – Land Ambulance, NPI 1912902818
Land Ambulance
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for BLAINE COUNTY RESCUE SQUAD
10802 FARNAM DR
OMAHA, NE 681543237
Phone: (531) 895-5853
Fax: (877) 343-0131
Type: Mailing
Chatham Avenue, Berwyn, Custer County, Nebraska, United States
BERWYN, NE 688142723
Phone: (308) 935-1569
Fax: (308) 935-9131
Type: Mailing
Lincoln Avenue, Brewster, Blaine County, Nebraska, United States
BREWSTER, NE 688219700
Phone: (308) 547-2400
Type: Location
355 MANDERSON ST
BREWSTER, NE 688219999
Phone: (877) 218-4392
Fax: (877) 343-0131
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: 2005-12-16
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2025-11-30 (193 days ago).
Enrollment records
1
Earliest due date
2025-11-30
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 |
|---|---|---|---|---|
| O20051216000136 | O | Ambulance Service Supplier | NE | 2025-11-30 |
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 68154)
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