IDAHO MEDICAL TRANSPORT (NPI# 1265682694) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265682694 |
| Entity Type | Organization |
| Organization Name | IDAHO MEDICAL TRANSPORT |
| Practice Address |
1924 E Preakness Ave Coeur D Alene ID 83815-9428 |
| Practice Telephone | 2087777719 |
| Mailing Telephone | 2087777719 |
| Enumeration Date | 2008-09-23 |
| Last Update Date | 2008-09-23 |
| Authorized Official Name | MARSHEL BYRON PRUIETT (MANAGING MEMBER) |
| Authorized Official Telephone | 2087777719 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 341600000X | Ambulance | ID | Transportation Services |
| Street Address |
1924 E PREAKNESS AVE |
| City | COEUR D ALENE |
| State | ID |
| Zip Code | 83815-9428 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790133163 | Christine Lee Stanton | Speech-Language Pathologist | 3825 N. Blalock Drive, Coeur D'alene, ID 83815 | 2016-05-26 |
| 1578921961 | Kayla Wearne | Speech-Language Pathologist | 917 W Canfield Avenue, Coeur D'alene, ID 83815 | 2016-02-01 |
| 1770954794 | William Strong | Speech-Language Pathologist | 3902 Broken Arrow Rd, Coeur D Alene, ID 83815 | 2015-10-16 |
| 1235517079 | Denny Bordeaux | Emergency Medical Technician, Paramedic | 7294 Downing Lane, Coeur D Alene, ID 83815 | 2015-05-13 |
| 1689075657 | Barbara Campbell | Pharmacist | W 201 Neider Rd., Coeur D'alene, ID 83815 | 2014-09-10 |
| 1710313671 | Sean Cooper | Pharmacist | W. 201 Neider Rd., Coeur D' Alene, ID 83815 | 2013-09-23 |
| 1275871329 | Lake City Dental | Dentist | 6176 Government Way, Coeur D'alene, ID 83815 | 2013-01-24 |
| 1881972701 | A Better Personal Care Inc | In Home Supportive Care | 3115 N Government Way Ste 2, Coeur D'alene, ID 83815 | 2011-07-26 |
| 1013206895 | Robert Sperry | Pharmacist | 41650 W Maricopacg Hwy., Maricopa, AZ 83815 | 2011-04-01 |
| 1629304670 | Marciea W. Buckley | Social Worker | 109 Harrison Ave, Coeur D' Alene, ID 83815 | 2009-10-27 |
| Find all providers in zip 83815 | ||||
| Taxonomy Code | 341600000X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| An emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane). |
| Notes: Source: Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 37. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174130074 | Shoshone County Ambulance Service District | Ambulance | 58738 Silver Valley Road, Osburn, ID 83849 | 2020-09-25 |
| 1255802047 | Front Line Ems, LLC | Ambulance | 2426 American Legion Blvd, Mountain Home, ID 83647-3146 | 2018-12-06 |
| 1053801035 | East Boise County Ambulance District | Ambulance | 204 W. Commercial St, Idaho City, ID 83631 | 2018-05-15 |
| 1861741282 | Plummer Gateway Fire Protection | Ambulance | 609 Poleyard Rd, Plummer, ID 83851 | 2012-08-30 |
| 1790064517 | Acute Rescue and Transport, Inc | Ambulance | 1104 W Dundee St, Boise, ID 83706-4118 | 2011-08-10 |
| 1487822532 | Raft River Fire Protection District | Ambulance | 55 West 1st North, Ambulance House, Malta, ID 83342 | 2008-02-12 |
| 1235335415 | Marsing Ambulance Service Inc | Ambulance | 303 Main, Marsing, ID 83639 | 2007-06-25 |
| 1962629907 | Sagle Fire District | Ambulance | 2689 Gun Club Road, Sagle, ID 83860-8072 | 2007-04-19 |
| 1447476551 | Lost Rivers Emt | Ambulance | 201 North Idaho Street, Arco, ID 83213 | 2007-04-17 |
| 1114142833 | City of Kooskia | Ambulance | 001 4th Ave, Kooskia, ID 83539 | 2007-04-16 |
| Find all providers with the same taxonomy | ||||
| City | COEUR D ALENE |
| Zip Code | 83815 |
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| 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.