Cambridge Volunteer Fire Dept Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

CAMBRIDGE VOLUNTEER FIRE DEPT INC

Practice address

190 N Commercial
Cambridge, ID 83610

Phone

(208) 257-3763

Fax

(208) 257-3763

NPI assigned

Jan 17, 2007

Last updated

Mar 4, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kristen Dawn Jaeger

Title

Ambulance Coordinator

Phone

(208) 566-3244

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Cambrige Volunteer Ambulance Other name

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709510400000",
    "number": "1104978535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 187",
            "city": "CAMBRIDGE",
            "state": "ID",
            "postal_code": "836100187",
            "telephone_number": "208-257-3763",
            "fax_number": "208-257-3763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 N COMMERCIAL",
            "city": "CAMBRIDGE",
            "state": "ID",
            "postal_code": "83610",
            "telephone_number": "208-257-3763",
            "fax_number": "208-257-3763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMBRIDGE VOLUNTEER FIRE DEPT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2024-03-04",
        "certification_date": "2021-03-31",
        "status": "A",
        "authorized_official_last_name": "JAEGER",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "AMBULANCE COORDINATOR",
        "authorized_official_telephone_number": "208-566-3244"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "ID",
            "license": "4311",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "E0856",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8071768",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cambrige Volunteer Ambulance",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Land Ambulance in Cambridge, ID
• Providers in Cambridge, ID by specialty
• Land Ambulance in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.