COVELO AMBULANCE SERVICE
NPI 1174748784
Ambulance in Covelo, CA
About Covelo Ambulance Service NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COVELO AMBULANCE SERVICE (NPI 1174748784) is a healthcare organization registered as an ambulance in Covelo, California and active in the NPI registry since April 2007. The organization lists William Baker, Fire Chief, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Medicare Participation & PECOS CMS
Medicare enrollment and revalidation status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Covelo Ambulance Service is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Covelo Ambulance Service's NPI number?
The NPI number for Covelo Ambulance Service is 1174748784. It was assigned to this organization in the NPPES registry on April 17, 2007.
Where is Covelo Ambulance Service located?
Covelo Ambulance Service is located at 79500 Covelo Rd, Covelo, CA 95428. The listed phone number is (707) 272-3099.
What is Covelo Ambulance Service's specialty?
The primary specialty registered for this NPI is Ambulance with taxonomy code 341600000X.
Is Covelo Ambulance Service enrolled in Medicare?
Yes. Covelo Ambulance Service is registered in the Medicare PECOS enrollment system.
When is Covelo Ambulance Service's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Ambulance Service Supplier) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
When was this NPI record last updated?
The NPPES record for Covelo Ambulance Service was last updated on October 18, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Covelo Ambulance Service · NPI 1174748784
Ambulance organization in Covelo, California. Organization record, active in the CMS NPPES registry since April 17, 2007.
## Identity
- **NPI:** 1174748784 (Entity type: Organization)
- **Enumerated:** April 17, 2007
- **Primary specialty:** Ambulance · taxonomy 341600000X
- **Organization subpart:** No
- **Authorized official:** William Baker, FIRE CHIEF
## Practice location
- **Address:** 79500 COVELO RD, Covelo, CA 95428
- **Phone:** (707) 272-3099
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, California, Ambulance Service Supplier) · CMS Revalidation Due Date List, October 2026 release
## Record status
- **NPPES last updated:** October 18, 2007
- **Other identifiers:** Medicare PIN ZZZ37505Z (CA); Medicaid ZZZ37505Z (CA); Other P00020014
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Source: [NPI Profile](https://npiprofile.com/npi/1174748784) · Data from the CMS NPPES public registry.