CLEARWATER COUNTY DBA BACK COUNTRY MEDICS (NPI# 1184785248) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184785248 |
| Entity Type | Organization |
| Organization Name | CLEARWATER COUNTY DBA BACK COUNTRY MEDICS |
| Other Organization Name | BACK COUNTRY MEDICS |
| Practice Address |
1060 Airport Road Box 586 Orofino ID 83544-0586 |
| Mailing Address |
Po Box 586 150 Michigan Ave Orofino ID 83544-0586 |
| Practice Telephone | 2084765615 |
| Practice Fax Number | 2084769315 |
| Mailing Telephone | 2084765615 |
| Mailing Fax Number | 2084769315 |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2013-07-23 |
| Authorized Official Name | MR. NICK R ALBERS (ADMINISTRATOR) |
| Authorized Official Telephone | 2084763057 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416A0800X |
Ambulance Specialization: Air Transport |
6228 | ID | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 9062621 | 05 | |
| ID | 808479400 | 05 |
| Other Name | Type Code |
|---|---|
| Back Country Medics | Doing Business As Name - Organization |
| Street Address |
1060 AIRPORT ROAD BOX 586 |
| City | OROFINO |
| State | ID |
| Zip Code | 83544-0586 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598229809 | Clearwater Canyon Pharmacy, LLC | Pharmacy | 13020 Us-12, Orofino, ID 83544 | 2019-01-31 |
| 1295130698 | Brian Shapiro | Marriage & Family Therapist | 155 Main Street Stuite C, Orofino, ID 83544 | 2014-10-28 |
| 1942497052 | Jean M. Shropshire | Speech-Language Pathologist | 123 1st St., Orofino, ID 83544 | 2007-10-02 |
| 1417161969 | Jeffrey David Hartshorn | Chiropractor | 437 College Avenue, Orofino, ID 83544 | 2007-05-10 |
| 1598808099 | Orofino Physical Therapy and Wellness Inc | Physical Medicine & Rehabilitation | 1005 Michigan Ave, Orofino, ID 83544 | 2007-02-14 |
| 1083766356 | Adam C. Dayley, O.d., P.C. | Optometrist | 906 Michigan Ave., Orofino, ID 83544 | 2007-01-17 |
| 1710037882 | Douglas L Frank | Pharmacist | 1105 Michigan Avenue, Orofino, ID 83544 | 2007-01-11 |
| 1386718047 | Irene Lamberti | Chiropractor | 437 College Ave., Orofino, ID 83544 | 2006-11-17 |
| 1730281064 | Clearwater County | Ambulance | 1195 Riverside Avenue, Orofino, ID 83544 | 2006-09-05 |
| 1538101050 | Wendi Rene Richardson | Nurse Anesthetist, Certified Registered | 301 Cedar, Clearwater Valley Hospital, Orofino, ID 83544 | 2006-06-11 |
| Find all providers in zip 83544 | ||||
| Taxonomy Code | 3416A0800X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Air Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962010686 | Rocky Mountain Holdings, LLC | Ambulance | 17 Center Hangar Rd, Salmon, ID 83467 | 2020-07-20 |
| 1124467790 | Rocky Mountain Holdings LLC | Ambulance | 1940 International Way, Idaho Falls, ID 83402 | 2013-06-17 |
| 1801288782 | Rocky Mountain Holdings, LLC | Ambulance | 2860 Channing Way, #206, Idaho Falls, ID 83404 | 2015-03-02 |
| 1518115195 | St Lukes Regional Medical Center | Ambulance | 190 E Bannock St, Boise, ID 83712-6241 | 2008-09-08 |
| 1023275583 | Omniflight Helicopters, Inc. | Ambulance | 2860 Channing Way, Suite 206, Idaho Falls, ID 83404-7531 | 2008-05-21 |
| 1306016472 | St. Alphonsus Regional Medical Center Inc. | Ambulance | 1055 N Curtis Rd, Boise, ID 83706 | 2008-03-05 |
Please comment or provide details below to improve the information on CLEARWATER COUNTY DBA BACK COUNTRY MEDICS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.