NPIMap

Organization Active NPI

Magic Valley Paramedics , LTD.

  • Land Ambulance
  • Twin Falls, ID
National Provider Identifier
1184754053
Registry record updated Sep 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
MAGIC VALLEY PARAMEDICS , LTD.
Practice address
285 Martin St
Twin Falls, ID 83301-4532
Phone
(208) 737-2298
NPI assigned
Mar 7, 2007
Last updated
Sep 24, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2014

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

Authorized official

Name
Jim Angle
Title
Ceo
Phone
(208) 737-2101

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X ID Primary

Addresses

Primary practice location

285 Martin St
Twin Falls, ID 83301-4532

Mailing address

PO Box 367
Twin Falls, ID 83303-0367
Phone (208) 814-7459

Other identifiers 4

IdentifierTypeStateIssuer
E1144OtherIDBLUE CROSS PROV NUMBER
807075100MedicaidID
P00719362OtherMEDICARE RR
000010149121OtherIDBLUE SHIELD PROV NUMBER

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411516800000",
    "number": "1184754053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 367",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833030367",
            "telephone_number": "208-814-7459",
            "fax_number": "208-814-7491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 MARTIN ST",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833014532",
            "telephone_number": "208-737-2298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGIC VALLEY PARAMEDICS , LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2014-09-24",
        "status": "A",
        "authorized_official_last_name": "ANGLE",
        "authorized_official_first_name": "JIM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "208-737-2101"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "ID",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROV NUMBER",
            "identifier": "E1144",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "807075100",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "P00719362",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PROV NUMBER",
            "identifier": "000010149121",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Twin Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2014; 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.