Gold Carriage LLC

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

GOLD CARRIAGE LLC

Practice address

104 E Fairview Ave
289
Meridian, ID 83642-1733

Phone

(208) 353-3723

NPI assigned

Jun 29, 2016

Last updated

Jun 29, 2016By 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

Glen Kiser

Title

Owner

Phone

(208) 353-3723

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1467158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467158400000",
    "number": "1174974265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 E FAIRVIEW AVE",
            "address_2": "289",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836421733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 E FAIRVIEW AVE",
            "address_2": "289",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836421733",
            "telephone_number": "208-353-3723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLD CARRIAGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-29",
        "last_updated": "2016-06-29",
        "status": "A",
        "authorized_official_last_name": "KISER",
        "authorized_official_first_name": "GLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-353-3723"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chad Gold, LPC
• Michael L. Gold, D.M.D.
• Marcel Alexander Goldberg, MD
• Andrea Goldberger, PT

• Non-emergency Medical Transport (VAN) in Meridian, ID
• Providers in Meridian, ID by specialty
• Non-emergency Medical Transport (VAN) in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2016; 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.