Lake Havasu City
NPI 1710727086ActiveOrganization· Ambulance· Lake Havasu City, AZ
Ambulance in Lake Havasu City, Arizona, registered in NPPES in May 2024. The authorized official on file is Jess Knudson, City Manager. Medicare paid $320,118 for services to 483 patients in 2024.
Overview
| NPI | 1710727086 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 25, 2024 |
| Last updated in NPPES | May 25, 2024 |
| Certified by provider | May 25, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Ambulance Primary | 341600000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Ambulance Service Supplier (AZ) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 483 |
|---|---|
| Services billed | 2,561 across 3 procedure codes |
| Paid by Medicare | $320,118 |
Other Ambulance providers in Lake Havasu City
- 1619695483