CMS-1500 Box 24J / 33a • NPI
1154535946
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
57475 ABBOT DR, SUNRIVER, OR, 97707-4108
✓ 9-Digit EDI 837 ZIP+4 (97707-4108)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1154535946 (SUNRIVER SERVICE 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
Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1154535946)
Medicare Beneficiaries
54
Total Billed Services
1,302.5
Distinct CPT/HCPCS Codes
3
Medicare Allowed Total
$39,954.75
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
A0425 | Ground mileage, per statute mile | 1,245.5 |
A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 53 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1154535946 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | SUNRIVER SERVICE 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 | 57475 ABBOT DR, SUNRIVER, OR, 97707-4108 |
| Practice Telephone / Fax | Tel: (541) 593-8622 |
| Administrative Mailing Address | PO BOX 2108, SUNRIVER, OR, 97707-4108 |
| Enumeration & Last Sync | Enumerated: 2007-05-10 | CMS Record Updated: 2007-10-03 |
| Authorized Official | ROD BJORVIK (FIRE CHIEF) |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
🗺️ Open in Google Maps 🏥 More Providers in SUNRIVER
🔒 Are you SUNRIVER SERVICE DISTRICT? Get your Verified NPI Clinic Badge or request personal phone/address redaction →
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"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (SUNRIVER SERVICE DISTRICT)
Typical CPT / Diagnostic Procedures:- Advanced Life Support (ALS) Pre-Hospital Cardiac Monitoring & Defibrillation
- Pre-Hospital Trauma Immobilization, Airway Management & IV Access
- 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 TransportPlain English: Licensed Emergency Medical Services (EMS) — BLS/ALS Ground & Air Ambulance | State: OR | License: E224737 | Primary: Secondary |
3416L0300X — Ambulance, Land TransportPlain English: Licensed Emergency Medical Services (EMS) — BLS/ALS Ground & Air Ambulance | State: OR | License: T509774 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
Batch-verify up to 25 NPIs free against CMS NPPES + Medicare PECOS + HHS OIG Exclusions with 1-click CSV export.