South Jordan City Fire Department – Land Ambulance, NPI 1437260817
Land Ambulance
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for South Jordan City Fire Department
10758, Redwood Road, South Jordan Towne Center, Beckstead Park, South Jordan, Salt Lake County, Utah, 84095, United States
SOUTH JORDAN, UT 840958507
Phone: (801) 254-0948
Fax: (801) 254-8356
Type: Location
South Jordan City Hall, 1600, Towne Center Drive, South Jordan Towne Center, Beckstead Park, South Jordan, Salt Lake County, Utah, 84095, United States
SOUTH JORDAN, UT 840958697
Phone: (801) 254-0948
Fax: (801) 254-8356
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: 2011-06-02
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 |
|---|---|---|---|---|
| O20110602000122 | 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 | 46,906 | 492 | $0 |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 391 | 337 | $0 |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 196 | 172 | $0 |
| A0433 | Advanced life support, level 2 (als 2) | 20 | 20 | $0 |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 14 | 13 | $0 |
Insurance plans in this area (ZIP 84095)
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