National Plan and Provider Enumeration System (NPPES) Information Is From

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National Plan and Provider Enumeration System (NPPES) Information Is From Cost Data Collection CMS Year 2 Selected NPIs Medicare Ground Ambulance Data Collection Ground Ambulance Providers and Suppliers Selected to Submit Data in Year 2 Note: National Plan and Provider Enumeration System (NPPES) information is from: https://npiregistry.cms.hhs.gov/ Sampled National NPPES Practice NPPES Mailing Provider Identifier (NPI) NPPES Organization Name Address State Address State 1316992407 1578818035 1053487025 CITY & BOROUGH OF JUNEAU ALASKA AK AK 1386868784 CITY OF CRAIG INC. AK WA 1225190143 CITY OF FAIRBANKS AK AK 1740690734 CITY OF GUSTAVUS AK WA 1154487817 CITY OF KETCHIKAN AK WA 1174733182 CITY OF KODIAK AK WA 1730470667 CITY OF NORTH POLE AK WA 1952404865 CITY OF VALDEZ AK AK 1477769057 COPPER RIVER EMERGENCY MEDICAL SERVICES COUNCIL, INC. AK AK 1396026944 DELTA MEDICAL TRANSPORT LLC AK WA 1710404603 GUARDIAN FLIGHT LLC AK MO 1386661270 KENAI PENINSULA BOROUGH AK WA 1144718248 NENANA VOLUNTEER FIRE/EMS DEPARTMENT AK AK 1053302620 NINILCHIK EMERGENCY SERVICES AK AK 1689721144 PETERSBURG BOROUGH AK AK 1952304271 TOK COMMUNITY CLINIC, INCORPORATED AK AK 1801996145 ABBEVILLE FIRE & RESCUE AL AL 1265474522 ADVANCED E.M.S., INC. AL AL 1790761781 ALEXANDER CITY AMB SER AL AL 1265549562 ASHFORD AMBULANCE AND RESCUE SQUAD AL AL 1992758718 BLOUNT EMS INC AL AL 1316012032 CHOCTAW COUNTY EMERGENCY MEDICAL SERVICES INC. AL AL 1336218114 CITY OF CHILDERSBURG AL AL 1992886873 CITY OF HARTFORD RESCUE SQUAD AL AL 1598835613 CITY OF HOOVER AL KY 1730188673 CITY OF JACKSONVILLE AL AL 1285707737 CITY OF MILLBROOK AL AL 1427141126 CITY OF MOUNTAIN BROOK AL AL 1154470961 CITY OF TRUSSVILLE AL AL 1659452555 CLIO RESCUE SQUAD INC AL AL 1205065406 CONCORD FIRE DISTRICT AL AL 1962470716 DALEVILLE VOLUNTEER RESCUE SQUAD AL AL 1912069261 ECHO VOLUNTEER RESCUE SQUAD AL AL 1760766596 ESCAMBIA COUNTY HEALTH CARE AUTHORITY AL AL 1366774390 FORESTDALE FIRE DISTRICT AL AL 1225288681 HAYNES AMBULANCE OF TROY LLC AL AL 1659473916 JACKSON COUNTY HEALTHCARE AUTHORITY AL AL 1336173343 KELLYTON VOLUNTEER FIRE AL AL 1285621797 LIFESTAR RESPONSE OF ALABAMA, INC. AL GA 1487730412 LOUISVILLE FIRE AND RESCUE AL AL 1578774659 NORTH BALDWIN EMS, LLC AL AL 1265406854 NORTHSTAR EMS, INC. AL AL 1558457176 NORTHWEST ALABAMA HEALTH SERVICES, LLC AL AL 1124103312 NORTHWEST EMS INC. AL AL 1003974866 OXFORD EMERGENCY MEDICAL SERVICES INC AL AL 1407855240 ROCKY MOUNTAIN HOLDINGS, LLC AL OH 1033205612 SOUTHEAST SHELBY COUNTY EMERGENCY MEDICAL RESCUE INC AL AL 1770581654 SPRINGHILL NURSING HOMES, INC AL AL 1851471932 SYLACAUGA AMBULANCE SERVICE, INC. AL AL 1568596443 THE CITY OF GREENVILLE FIRE DEPARTMENT AL AL 1295896264 TOWN OF COLUMBIA AL AL 1295833093 TOWN OF ECLECTIC AL NY 1841554235 TOWN OF JEMISON AL AL 1700322815 TOWN OF MIDLAND CITY AL AL 1225011042 AIR EVAC EMS INC AR MO 1194776757 ARKANSAS CHILDRENS HOSPITAL AR AR 1174569206 CITY OF DUMAS AR AR 1407875461 CITY OF PEA RIDGE AR AR 1679722664 CITY OF TUCKERMAN RECORDER TREASURER AR NE 1457481053 CITY OF WEST MEMPHIS AR AR 1861422560 CRITTENDEN EMS LLC AR AR 1609886522 FORT SMITH EMERGENCY MEDICAL SERVICES AR AR 1265407001 FULTON COUNTY HOSPITAL AR AR 1821418922 LIBERTY EMS SERVICE LLC AR AR Prepared by Page, Wolfberg & Wirth, LLC Based on CMS Published List Page 1 of 38 Cost Data Collection CMS Year 2 Selected NPIs Sampled National NPPES Practice NPPES Mailing Provider Identifier (NPI) NPPES Organization Name Address State Address State 1174705859 LIFELINE EMS LLC AR AR 1114006939 MEDIC ONE, LLC AR AR 1275523912 NORTH ARKANSAS REGIONAL MEDICAL CENTER AR AR 1376651521 POPE COUNTY AR AR 1104893676 RIVERSIDE AMBULANCE INC AR AR 1235111071 SALINE HOSPITAL LLC AR AR 1558380725 SEBASTIAN COUNTY JUDGE COURTHOUSE AR AR 1386634442 SOUTHWEST EMS INC AR AR 1760410278 YELL COUNTY EMS AR AR 1679565642 AJO AMBULANCE INC AZ AZ 1851781314 AMERICAN MEDICAL RESPONSE OF MARICOPA, LLC AZ TX 1205996246 ARIZONA AMBULANCE OF DOUGLAS INC AZ AZ 1700883113 BEAVER DAM LITTLEFIELD FIRE DISTRICT AZ AZ 1417961244 CITY OF BISBEE AZ KY 1073510699 CITY OF NOGALES AZ AZ 1083751176 CITY OF PAGE AZ NE 1053343624 CITY OF SIERRA VISTA AZ AZ 1750811063 CITY OF TEMPE AZ AZ 1134421993 CITY OF YUMA AZ AZ 1093707242 ELOY FIRE DISTRICT AZ AZ 1942393517 FORT MOJAVE MESA FIRE DEPARTMENT AZ AZ 1780610063 HOLBROOK EMS INC. AZ AZ 1396761516 MED-TRANS CORPORATION AZ MO 1710036405 PIMA AGENCY AZ AZ 1982697728 RINCON VALLEY FIRE DISTRICT AZ AZ 1154795086 RIO VERDE FIRE DISTRICT AZ AZ 1053502781 RURAL METRO CORPORATION AZ TX 1073704896 RURAL METRO CORPORATION AZ TX 1447288436 SACRED MOUNTAIN MEDICAL SERVICES INC AZ AZ 1841354263 SAN CARLOS APACHE TRIBE AZ AZ 1679532535 SIERRA VISTA FRY FIRE DISTRICT AZ AZ 1538116652 SOUTHWEST AMBULANCE OF CASA GRANDE AZ TX 1407840176 TOWN OF KEARNY AZ AZ 1023055399 TOWN OF TAYLOR AZ AZ 1952448755 WHITE MOUNTAIN AMBULANCE SERVICE, INC. AZ AZ 1659456515 ALLIED MEDICAL SERVICES OF CALIFORNIA INC. CA CA 1154642031 AMBULIFE AMBULANCE, INC. CA CA 1609876929 AMERICAN LEGION AMBULANCE SERVICE CA CA 1518075449 AMERICAN MEDICAL RESPONSE OF INLAND EMPIRE CA CA 1932292604 AMERICAN MEDICAL RESPONSE OF SOUTHERN CALIFORNIA CA CA 1578597803 AMERICAN MEDICAL RESPONSE WEST CA CA 1972537173 AMERICAN MEDICAL RESPONSE WEST CA CA 1982638227 AMERICAN MEDICAL RESPONSE WEST CA CA 1437157252 AMERICAN MEDICAL TRANSPORT INC. CA CA 1114430998 ARCATA-MAD RIVER AMBULANCE LLC CA CA 1467526905 BARONA BAND OF MISSION INDIANS CA CA 1518068857 BAY MEDIC TRANSPORTATION INC. CA CA 1669505756 BIG PINE FIRE PROTECTION DISTRICT CA CA 1407864341 BLYTHE AMBULANCE SERVICE CA CA 1679665053 BUTTE VALLEY AMBULANCE SERVICE INC. CA CA 1922282805 CAMP NELSON AMBULANCE ASSOCIATION INCORPORATED CA CA 1144225483 CITY OF ARCADIA CA CA 1972879526 CITY OF CARMEL BY THE SEA CA CA 1437309226 CITY OF COSTA MESA FINANCE DEPT CA CA 1871599001 CITY OF CULVER CITY CA CA 1124024070 CITY OF ETNA CA CA 1447391149 CITY OF FULLERTON CA CA 1487853974 CITY OF GILROY CA CA 1295735942 CITY OF LA HABRA CA CA 1811081425 CITY OF OCEANSIDE CA CA 1922004555 CITY OF ORANGE CA CA 1134133473 CITY OF PASADENA CA CA 1831256759 CITY OF PIEDMONT CA CA 1457885089 CITY OF RANCHO MIRAGE CA CA 1811054745 CITY OF SACRAMENTO CA CA 1699832584 CITY OF SAN RAFAEL CA CA 1386647857 CITY OF SONOMA CA CA 1073512570 CITY OF SOUTH PASADENA CA CA 1316339609 CONTRA COSTA COUNTY CA CA 1740354422 COSUMNES COMMUNITY SERVICES DISTRICT CA CA 1417901091 ENLOE MEDICAL CENTER CA CA Prepared by Page, Wolfberg & Wirth, LLC Based on CMS Published List Page 2 of 38 Cost Data Collection CMS Year 2 Selected NPIs Sampled National NPPES Practice NPPES Mailing Provider Identifier (NPI) NPPES Organization Name Address State Address State 1609823228 FILYN CORPORATION CA CA 1285772780 FORESTHILL FIRE PROTECTION DISTRICT CA CA 1568456002 GOLD COAST AMBULANCE SERVICE CA CA 1588802144 GOOD SAVIOR, LLC CA CA 1336257021 HERREN ENTERPRISES INC CA CA 1639389554 JARBOU & JARBOU, INC CA CA 1346246261 KELSEYVILLE FIRE PROTECTION DISTRICT CA CA 1922008408 LAKEPORT COUNTY FIRE PROTECTION DISTRICT CA CA 1508989856 LONG VALLEY FIRE PROTECTION DIST CA CA 1437249216 MEDCOAST MEDSERVICES, INC. CA WA 1871527887 MEDIC AMBULANCE SERVICE INC CA CA 1558306738 MEDRESPONSE INC. CA CA 1518236876 MEDSTAR AMBULANCE OF MENDOCINO COUNTY INC CA CA 1538113725 MENDOCINO COAST HEALTH CARE DISTRICT CA CA 1205866423 MISSION AMBULANCE INC CA CA 1275522898 NORTH COUNTY FIRE PROTECTION DISTRICT CA CA 1861559775 NORTH TAHOE FIRE PROTECTION DISTRICT CA CA 1487152740 PARAMEDICS LOGISTICS CALIFORNIA LLC CA CA 1780925990 PHI HEALTH, LLC CA TX 1134283179 RIPON CONSOLIDATED FIRE DISTRICT CA CA 1902939390 RUNNING SPRINGS WATER DISTRICT CA CA 1871541102 SAN LUIS AMBULANCE SERVICE, INC. CA CA 1083614374 SAN RAMON VALLEY FIRE PROTECTION DISTRICT CA CA 1518911403 SIERRA MEDICAL SERVICES ALLIANCE CA NV 1720012032 SILICON VALLEY AMBULANCE INC CA CA 1265432801 SOUTH LAKE COUNTY FIRE PROTECTION DISTRICT CA CA 1346464666 SOUTHERN INYO FIRE PROTECTION DISTRICT CA CA 1174706477 SOUTHERN TRINITY AREA RESCUE CA CA 1043218191 SYCUAN TRIBAL GOVERNMENT CA CA 1770819781 VIEJAS BAND OF KUMEYAAY INDIANS CA CA 1053453951 WESTMED AMBULANCE INC CA TX 1164456828 BACA GRANDE PROPERTY OWNERS ASSOCIATION CO CO 1477702579 BEULAH FIRE PROTECTION & AMBULANCE DISTRICT CO CO 1275506164 BLACK FOREST FIRE-RESCUE DISTRICT CO CO 1285766089 BYERS FIRE PROTECTION DISTRICT NO 9 CO CO 1396721395 CITY OF FEDERAL HEIGHTS CO CO 1407890734 CITY OF FOUNTAIN CO CO 1972613073 CITY OF WESTMINSTER COLORADO CO CO 1730294158 COUNTY OF MINERAL CO CO 1245401355 DE BEQUE FIRE PROTECTION DISTRICT CO CO 1174500466 DELTA COUNTY AMBULANCE DISTRICT CO CO 1285632539 EAGLE COUNTY HEALTH SERVICE DISTRICT CO CO 1144207127 ELIZABETH FIRE PROTECTION DISTRICT CO CO 1265581763 ELK CREEK FIRE PROTECTION DISTRICT CO WA 1376585000 HIGHLAND RESCUE TEAM AMBULANCE DISTRICT CO CO 1366988446 HUERFANO COUNTY HOSPITAL DISTRICT CO CO 1881606275 INTER-CANYON FIRE PROTECTION DISTRICT CO CO 1407069628 LA JUNTA RURAL FIRE PROTECTION DISTRICT CO CO 1477731206 MED-TRANS CORPORATION CO MO 1033258785 NORTH CENTRAL FIRE PROTECTION DISTRICT CO CO 1568509818 NORTHERN SAGUACHE COUNTY AMBULANCE CO CO 1902925928 NUCLA-NATURITA FIRE PROTECTION DISTRICT CO CO 1013167964 PLATTE CANYON FIRE PROTECTION DISTRICT CO CO 1750616447 PUEBLO WEST METROPOLITAN DISTRICT CO CO 1467566372 RIO BLANCO FIRE PROTECTION DISTRICT CO CO 1023272176 RYE FIRE PROTECTION DISTRICT, INC. CO CO 1750825790 SOUTHEAST WELD FIRE PROTECTION DISTRICT CO CO 1295959328 SOUTHERN COLORADO RURAL EMERGENCY MEDICAL SERVICES, INC. CO CO 1700251105 SOUTHERN PARK COUNTY FIRE PROTECTION DISTRICT CO NE 1497800668
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