CMS-1500 Box 24J / 33a • NPI
1659456978
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
510 ILLINOIS ST, PAWNEE, OK, 74058-2036
✓ 9-Digit EDI 837 ZIP+4 (74058-2036)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1659456978 (CITY OF PAWNEE) 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 #1659456978)
Medicare Beneficiaries
111
Total Billed Services
5,750
Distinct CPT/HCPCS Codes
4
Medicare Allowed Total
$140,271.00
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
A0425 | Ground mileage, per statute mile | 5,560 |
A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 29 |
A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 19 |
A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 142 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1659456978 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | CITY OF PAWNEE |
| 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 | 510 ILLINOIS ST, PAWNEE, OK, 74058-2036 |
| Practice Telephone / Fax | Tel: (800) 538-8278 | Fax: (580) 628-2273 |
| Administrative Mailing Address | 510 ILLINOIS ST, PAWNEE, OK, 74058-2036 |
| Enumeration & Last Sync | Enumerated: 2006-10-26 | CMS Record Updated: 2010-01-27 |
| Authorized Official | JAMES NOVOTNY (FIRE CHIEF) |
Clinic Location, Accessibility & Directions
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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"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (CITY OF PAWNEE)
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: OK | License: EMS187 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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