BROOKFIELD TOWNSHIP – Land Ambulance, NPI 1104808492
Land Ambulance
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for BROOKFIELD TOWNSHIP
PO BOX 76729
CLEVELAND, OH 441016500
Phone: (330) 448-1000
Fax: (330) 448-4262
Type: Mailing
State Route 12, Town of Brookfield, Madison County, New York, 13418, United States
BROOKFIELD, OH 444039630
Phone: (330) 448-1000
Fax: (330) 448-4262
Type: Location
PO BOX 392907
PITTSBURGH, PA 152519907
Phone: (330) 448-1000
Fax: (330) 448-4262
Type: Mailing
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: 2004-03-01
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-05-31 (741 days ago).
Enrollment records
1
Earliest due date
2024-05-31
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 |
|---|---|---|---|---|
| O20040301000708 | O | Ambulance Service Supplier | OH | 2024-05-31 |
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 | 22,647 | 176 | $0 |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 168 | 118 | $0 |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 113 | 86 | $0 |
Insurance plans in this area (ZIP 44101)
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