AMERICAN LEGION POST NO. 108 AMBULANCE SERVICE
NPI 1609876929
Ambulance - Land Transport in Jackson, CA
About American Legion Post No. 108 Ambulance Service NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AMERICAN LEGION POST NO. 108 AMBULANCE SERVICE (NPI 1609876929), doing business as American Legion Ambulance, is a healthcare organization registered as a land transport in Jackson, California and active in the NPI registry since July 2005. The organization lists Michelle Tyer, President, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment and revalidation status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
American Legion Post No. 108 Ambulance Service is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 2026
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 7
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 American Legion Post No. 108 Ambulance Service's NPI number?
The NPI number for American Legion Post No. 108 Ambulance Service is 1609876929. It was assigned to this organization in the NPPES registry on July 28, 2005. The provider is doing business as American Legion Ambulance.
Where is American Legion Post No. 108 Ambulance Service located?
American Legion Post No. 108 Ambulance Service is located at 11350 American Legion Dr, Jackson, CA 95642. The listed phone number is (209) 223-2963.
What is American Legion Post No. 108 Ambulance Service's specialty?
The primary specialty registered for this NPI is Ambulance, specializing in Land Transport, with taxonomy code 3416L0300X.
Is American Legion Post No. 108 Ambulance Service enrolled in Medicare?
Yes. American Legion Post No. 108 Ambulance Service is registered in the Medicare PECOS enrollment system.
When is American Legion Post No. 108 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 November 30, 2026. 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 American Legion Post No. 108 Ambulance Service was last updated on May 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.
# American Legion Post No. 108 Ambulance Service · NPI 1609876929
Land Transport organization in Jackson, California. Organization record, active in the CMS NPPES registry since July 28, 2005.
## Identity
- **NPI:** 1609876929 (Entity type: Organization)
- **Enumerated:** July 28, 2005
- **Primary specialty:** Ambulance - Land Transport · taxonomy 3416L0300X
- **Also known as:** American Legion Ambulance (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Michelle Tyer, PRESIDENT, CEO
## Practice location
- **Address:** 11350 AMERICAN LEGION DR, Jackson, CA 95642-9764
- **Phone:** (209) 223-2963 · **Fax:** (209) 267-5463
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Non-DME Part B, California, Ambulance Service Supplier) · CMS Revalidation Due Date List, October 2026 release
## Record status
- **NPPES last updated:** May 19, 2026
- **Other identifiers:** Medicaid MTE00749F (CA); Other 590480356 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1609876929) · Data from the CMS NPPES public registry.