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City of Moline

NPI 1760489199ActiveOrganization· Ambulance· Moline, IL

Ambulance in Moline, Illinois, registered in NPPES in June 2005. The authorized official on file is Ivan Luverne Sederstrom, Deputy Fire Chief. Medicare paid $439,962 for services to 728 patients in 2024.

Overview

NPI1760489199
StatusActive
Entity typeOrganization
NPI issuedJun 30, 2005
Last updated in NPPESMar 21, 2012

Specialties and licenses

TaxonomyCodeLicenseState
Ambulance Primary341600000X02253702IL
Ambulance341600000X22537IL

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Ambulance Service Supplier (IL)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients728
Services billed6,442 across 4 procedure codes
Paid by Medicare$439,962

Medicare sources and data years