DEARY AMBULANCE
NPI 1720082712
Ambulance - Land Transport in Deary, ID
About Deary Ambulance NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DEARY AMBULANCE (NPI 1720082712) is a healthcare organization registered as a land transport in Deary, Idaho and active in the NPI registry since June 2005. The organization lists Brian Robertson, Treasurer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment and revalidation status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Deary Ambulance is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 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 Deary Ambulance's NPI number?
The NPI number for Deary Ambulance is 1720082712. It was assigned to this organization in the NPPES registry on June 8, 2005.
Where is Deary Ambulance located?
Deary Ambulance is located at 403 Main St, Deary, ID 83823. The listed phone number is (208) 877-1515.
What is Deary Ambulance's specialty?
The primary specialty registered for this NPI is Ambulance, specializing in Land Transport, with taxonomy code 3416L0300X.
Is Deary Ambulance enrolled in Medicare?
Yes. Deary Ambulance is registered in the Medicare PECOS enrollment system.
When is Deary Ambulance'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 (Idaho, Ambulance Service Supplier) is due for revalidation by March 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 Deary Ambulance was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Deary Ambulance · NPI 1720082712
Land Transport organization in Deary, Idaho. Organization record, active in the CMS NPPES registry since June 8, 2005.
## Identity
- **NPI:** 1720082712 (Entity type: Organization)
- **Enumerated:** June 8, 2005
- **Primary specialty:** Ambulance - Land Transport · taxonomy 3416L0300X
- **Organization subpart:** No
- **Authorized official:** Brian Robertson, TREASURER
## Practice location
- **Address:** 403 MAIN ST, Deary, ID 83823-9601
- **Phone:** (208) 877-1515
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, Idaho, Ambulance Service Supplier) · CMS Revalidation Due Date List, October 2026 release
## Record status
- **NPPES last updated:** August 22, 2020
- **Other identifiers:** Medicaid 8053327 (ID)
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Source: [NPI Profile](https://npiprofile.com/npi/1720082712) · Data from the CMS NPPES public registry.