Weiser Ambulance District

Primary specialty

AmbulanceTaxonomy code 341600000X

License

8304 Issued in ID

Legal business name

WEISER AMBULANCE DISTRICT

Practice address

435 E. Park St.
Weiser, ID 83672-2265

Phone

(208) 414-4257

Fax

(208) 414-2351

NPI assigned

Oct 3, 2006

Last updated

Oct 26, 2009By 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

Greg D. Owen

Title

Director

Phone

(208) 466-8800

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• County Of Washington Former legal business name

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256515200000",
    "number": "1255425286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 670",
            "address_2": "256 E COURT ST.",
            "city": "WEISER",
            "state": "ID",
            "postal_code": "836720670",
            "telephone_number": "208-414-1636",
            "fax_number": "208-414-4255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 E. PARK ST.",
            "city": "WEISER",
            "state": "ID",
            "postal_code": "836722265",
            "telephone_number": "208-414-4257",
            "fax_number": "208-414-2351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEISER AMBULANCE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2009-10-26",
        "status": "A",
        "authorized_official_last_name": "OWEN",
        "authorized_official_first_name": "GREG",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "208-466-8800"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "ID",
            "license": "8304",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "E0385",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002810100",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "County Of Washington",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Weiser Pharmacy
• Weiser School District #431
• Weiser Valley Hospital District

• Ambulance in Weiser, ID
• Providers in Weiser, ID by specialty
• Ambulance in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.