DEARY AMBULANCE


Address: 403 Main St, Deary, ID 83823-9601
Phone: 2088771515

DEARY AMBULANCE (NPI# 1720082712) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1720082712
Entity Type Organization
Organization Name DEARY AMBULANCE
Practice Address 403 Main St
Deary
ID 83823-9601
Practice Telephone 2088771515
Mailing Telephone 2088771515
Enumeration Date 2005-06-08
Last Update Date 2020-08-22
Authorized Official Name BRIAN ROBERTSON (TREASURER)
Authorized Official Telephone 2088771515
Authorized Official Credential FIRST RESPONDER
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3416L0300X Ambulance
Specialization: Land Transport
7212 ID Transportation Services

Other Provider Identifier

State Issuer Identifier Type Code
ID 8053327 05

Office Location

Street Address 403 MAIN ST
City DEARY
State ID
Zip Code 83823-9601

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1487829925 Scott Community Services, LLC Emergency Response System Companies 507 Oregon St., Deary, ID 83823 2008-04-25
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1922321629 Scott Community Services, LLC Emergency Response System Companies 507 Oregon St, Deary, ID 83823 2010-03-09
1649497116 Scott Community Care, Pllc Case Management 507 Oregon St, Deary, ID 83823 2007-04-19
1811015373 Scott Community Care, Pllc Case Management 507 Oregon Street, Deary, ID 83823 2007-03-26
1902924491 Scott Community Care, Pllc Case Management 507 Oregon Street, Deary, ID 83823 2007-03-26
1245477256 Whitepine Joint Scool District #288 Local Education Agency (LEA) 502 First Street, Box 249, Deary, ID 83823-0249 2009-01-13
1689216095 Machelle F. Peterson Advanced Practice Midwife 1301 Mica Mountain Rd, Deary, ID 83823-9641 2019-10-17
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Taxonomy Information

Taxonomy Code 3416L0300X
Grouping Transportation Services
Classification Ambulance
Specialization Land Transport

Taxonomy Definition

Definition to come...
Notes: [1/1/2005: title modified]

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1770058265 Victory Medical Transportation, Inc. Ambulance 655 N Five Mile Rd, Boise, ID 83713-8025 2018-10-10
1316465453 County of Elmore Ambulance 2259 E. 8th N., Mountain Home, ID 83647-8364 2017-09-08
1790136091 Teton County Fire Protection Dist Ambulance 911 North Hwy 33, Driggs, ID 83422 2016-06-28
1619394020 Garden Valley Fire Protection Ambulance 373 S. Middle Fork Rd., Garden Valley, ID 83622-0000 2014-03-24
1588910913 Lost River Emt Ambulance 201 N. Idaho St., Arco, ID 83213-0503 2012-08-03
1023393709 City of Troy Ambulance 521 Eagle Alley, Troy, ID 83871 2011-10-13
1548567027 Prichard-murray Volunteer Fire Department Inc. Ambulance 21109 Coeur Dalene River Rd, Wallace, ID 83873-5043 2011-02-18
1023332392 Newport Emergency Services Inc Ambulance 203 E 4th St N, Oldtown, ID 83822-9546 2010-03-16
1700051471 Midvale Fire Protection District Ambulance 10 S River Street, Midvale, ID 83645 2008-04-24
1720257272 Grand View Ambulance-rimrock Searech and Rescue, Inc Ambulance 720 Roosevelt Ave, Grand View, ID 83624-5079 2008-02-28
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Competitor

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City DEARY
Zip Code 83823

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Dataset Information

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.

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