UTICA FIRE PROTECTION DISTRICT — NPI 1114050812 (Licensed Emergency Medical Services (EMS) — BLS/ALS Ground & Air Ambulance in UTICA, IL)

CMS-1500 Box 24J / 33a • NPI

1114050812

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

3416L0300X (CMS 59)

Licensed Emergency Medical Services (EMS) — BLS/ALS Ground & Air Ambulance

Box 32 Service Location & ZIP+4

2945 N. ROUTE 178, UTICA, IL, 61373

Official NPPES Practice Location

Practice Phone & Referral Fax

(815) 667-4113

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1114050812 (UTICA FIRE PROTECTION DISTRICT) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1114050812)

Medicare Beneficiaries

Total Billed Services

699.1

Distinct CPT/HCPCS Codes

Medicare Allowed Total

$36,559.50

Actual Top Billed CPT / HCPCS Procedures (CMS Part B)

CPT / HCPCS	Clinical Procedure Description	Services
`A0425`	Ground mileage, per statute mile	639.1
`A0427`	Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)	42
`A0429`	Ambulance service, basic life support, emergency transport (bls-emergency)	16

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1114050812` (NPI-2 Organization / Facility)
Provider / Legal Name	UTICA FIRE PROTECTION DISTRICT
Plain-English Specialty	Licensed Emergency Medical Services (EMS) — BLS/ALS Ground & Air Ambulance NUCC Code: `3416L0300X` (Ambulance, Land Transport)
Certifying / Licensing Body	State EMS Authority / National Registry of Emergency Medical Technicians (NREMT)
Practice Location Address	2945 N. ROUTE 178, UTICA, IL, 61373
Practice Telephone / Fax	Tel: (815) 667-4113
Administrative Mailing Address	2945 N. ROUTE 178, UTICA, IL, 61373
Enumeration & Last Sync	Enumerated: 2007-03-13 \| CMS Record Updated: 2011-05-25
Authorized Official	MARK BIERBOM (EMS Director)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

2945 N. ROUTE 178, UTICA, IL, 61373

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Plain-English Taxonomy & CMS Crosswalk (3416L0300X)

What Does Taxonomy Code 3416L0300X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 3416L0300X translates to:
"Licensed Emergency Medical Services (EMS) — BLS/ALS Ground & Air Ambulance"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 59 (Ambulance Service Provider)
Certifying / Accrediting Authority: State EMS Authority / National Registry of Emergency Medical Technicians (NREMT)
Clinical Scope: Emergency 911 pre-hospital medical response or medically supervised inter-hospital critical care transport.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (UTICA FIRE PROTECTION DISTRICT)

Typical CPT / Diagnostic Procedures:

Advanced Life Support (ALS) Pre-Hospital Cardiac Monitoring & Defibrillation
Pre-Hospital Trauma Immobilization, Airway Management & IV Access

Common Therapeutic Classes:

Pre-Hospital Epinephrine, Aspirin, Nitroglycerin, Naloxone & Albuterol

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`3416L0300X` — Ambulance, Land Transport Plain English: Licensed Emergency Medical Services (EMS) — BLS/ALS Ground & Air Ambulance	State: IL \| License: `22585` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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UTICA FIRE PROTECTION DISTRICT (NPI #1114050812)