NPIMap

Organization Active NPI

Lost River Area Transit - Agency

  • Non-emergency Medical Transport (VAN)
  • St Maries, ID
National Provider Identifier
1154632800
Registry record updated Jun 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
LOST RIVER AREA TRANSIT - AGENCY
Practice address
820 Elm Dr
St Maries, ID 83861-2119
Phone
(208) 245-4576
Fax
(208) 245-2138
NPI assigned
Jun 28, 2010
Organization subpart
Yes
Parent organization
VALLEY VISTA CARE CORPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 28, 2010

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

Authorized official

Name
Kasey Borgman
Title
Corp Compliance
Phone
(208) 245-4576

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

820 Elm Dr
St Maries, ID 83861-2119

Mailing address

3668 W. 3700 N.
Darlington, ID 83231
Phone (208) 588-3700

Other identifiers 1

IdentifierTypeStateIssuer
8056283-02MedicaidID

National Provider Directory

National Provider Directory
Tax ID family
Valley Vista Care Corp20 organizations share this tax ID, including this one
Part of
Valley Vista Care Corp

Other organizations with this tax ID 19

Organizations that report the same tax identification number in the National Provider Directory.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1277683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277683200000",
    "number": "1154632800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3668 W. 3700 N.",
            "city": "DARLINGTON",
            "state": "ID",
            "postal_code": "83231",
            "telephone_number": "208-588-3700",
            "fax_number": "208-588-2701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 ELM DR",
            "city": "ST MARIES",
            "state": "ID",
            "postal_code": "838612119",
            "telephone_number": "208-245-4576",
            "fax_number": "208-245-2138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOST RIVER AREA TRANSIT - AGENCY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VALLEY VISTA CARE CORP",
        "enumeration_date": "2010-06-28",
        "last_updated": "2010-06-28",
        "status": "A",
        "authorized_official_last_name": "BORGMAN",
        "authorized_official_first_name": "KASEY",
        "authorized_official_title_or_position": "CORP COMPLIANCE",
        "authorized_official_telephone_number": "208-245-4576"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8056283-02",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Maries, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.