South Summit Ambulance – Land Ambulance, NPI 1144259805
Land Ambulance
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for South Summit Ambulance
South Redwood Road, West Jordan, Salt Lake County, Utah, 84088, United States
SOUTH JORDAN, UT 840950970
Phone: (801) 352-9500
Fax: (801) 352-9502
Type: Mailing
210, East 400 South, Kamas, Summit County, Utah, 84036, United States
KAMAS, UT 840360266
Phone: (435) 783-6276
Fax: (435) 783-6277
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: 2009-12-17
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
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 |
|---|---|---|---|---|
| O20091217000301 | O | Ambulance Service Supplier | UT | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
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 | 10,465 | 37 | $0 |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 31 | 28 | $0 |
Insurance plans in this area (ZIP 84095)
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