Lincoln County EMS

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

7509 Issued in ID

Legal business name

LINCOLN COUNTY EMS

Practice address

111 W B St Ste C
Shoshone, ID 83352-5364

Phone

(208) 886-2452

NPI assigned

Aug 27, 2007

Last updated

Aug 27, 2007By 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

Todd Jaynes

Title

Director

Phone

(208) 886-2452

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Keith E Davis, M.D.

  • Family Medicine Physician
  • Shoshone, ID
  • NPI 1043277635
  NPD (past)

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

{
    "created_epoch": "1188172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188172800000",
    "number": "1194918839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 W B ST STE C",
            "city": "SHOSHONE",
            "state": "ID",
            "postal_code": "833525364",
            "telephone_number": "208-886-2452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 W B ST STE C",
            "city": "SHOSHONE",
            "state": "ID",
            "postal_code": "833525364",
            "telephone_number": "208-886-2452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINCOLN COUNTY EMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-27",
        "last_updated": "2007-08-27",
        "status": "A",
        "authorized_official_last_name": "JAYNES",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "208-886-2452"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "ID",
            "license": "7509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katie S Hays, LCSW
• Keith E Davis (Shoshone Family Medical Center)
• Matthew E. Kent, O.D.
• Lincoln Community Health
• Lincoln County Care Center LLC
• Lincoln County EMS
• Andrea Madson, LMSW
• Matthew E. Kent, O.D.,P.a. (Little Wood Vision Clinic)
• Physician Management Services of Idaho, LLC
• Krista Profit

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2007; 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.