City of Lewiston

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

8210 Issued in ID

Legal business name

CITY OF LEWISTON

Practice address

1134 F St
Lewiston, ID 83501-1930

Phone

(208) 746-3671

Fax

(208) 746-1907

NPI assigned

Aug 19, 2005

Last updated

Jul 21, 2022By 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

Daniel J Marsh

Title

Administrative Services Director

Phone

(208) 746-3671

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WA, ID2 enrollments

Enrollment records 2

Locations

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

{
    "created_epoch": "1124409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1306838859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 617",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835010617",
            "telephone_number": "208-746-3671",
            "fax_number": "208-746-1907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1134 F ST",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835011930",
            "telephone_number": "208-746-3671",
            "fax_number": "208-746-1907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF LEWISTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-19",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MARSH",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ADMINISTRATIVE SERVICES DIRECTOR",
        "authorized_official_telephone_number": "208-746-3671"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WA",
            "license": "40M01",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "ID",
            "license": "8210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bret Boyle Christensen, DDS MS
• April Lynn Christenson, FNP-C
• Samantha D Christiansen, BS
• Christina Bowman, Pmhnp-BC, PLLC
• Anna Maria Christopher, B PHARM
• Brandon W. Clark, LCSW
• Diane Clark, RN, BSN
• Jennifer Ann Clark
• Clearview Surgery Center, LLC
• Clearwater Counseling

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.