City of Idaho Falls

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

8705 Issued in ID

Legal business name

CITY OF IDAHO FALLS

Doing business as

City of Idaho Falls Ambulance Service

Practice address

343 E St
Idaho Falls, ID 83402

Phone

(208) 612-8452

NPI assigned

Jul 8, 2005

Organization subpart

No

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

Authorized official

Name

Eric Day

Title

Fire Chief

Phone

(208) 612-8173

Specialties & licenses 1

Addresses

Other identifiers 14

Other names 1

• City of Idaho Falls Ambulance Service Doing business as

Medicare fee-for-service enrollment

Enrolled in ID2 enrollments

Enrollment records 2

Locations

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

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576540800000",
    "number": "1114925617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 269110",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958269110",
            "telephone_number": "916-669-4613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "343 E ST",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "83402",
            "telephone_number": "208-612-8452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF IDAHO FALLS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-08",
        "last_updated": "2019-12-17",
        "certification_date": "2019-12-17",
        "status": "A",
        "authorized_official_last_name": "DAY",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "208-612-8173"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "ID",
            "license": "8705",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMBA",
            "identifier": "32466",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE INSURANCE FUND",
            "identifier": "421",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "8180029",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALTIUS HEALTH PLANS",
            "identifier": "197470",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF IDAHO",
            "identifier": "E0229",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE SHIELD OF ID",
            "identifier": "000010034871",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET",
            "identifier": "DA0003",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "213131",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO, GBA",
            "identifier": "590157453",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE - WBS",
            "identifier": "826000280",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002806100",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0441688",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPLOYER'S MUTUAL",
            "identifier": "274655001",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "60054",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "City of Idaho Falls Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "City of Idaho Falls Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• George Chudleigh, PT
• Allison Michelle Chuirazzi, OTR/L
• Cibrian Counseling & Wellness Center, LLC
• Rocco P Cifrese, MD
• Cindy Goff, PLLC
• Sarah Elizabeth Clancy, DO
• Camillia Clark, COUI-9541
• Charity Clark, LCSW
• Daniel Ewing Clark, CRNA
• Deborah Joy Clark

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2019; 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.