Organization Active NPI

Atob Services, LLC

  • Non-emergency Medical Transport (VAN)
  • Rupert, ID
National Provider Identifier
1346690070
Registry record updated Jun 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
ATOB SERVICES, LLC
Practice address
103 S Oneida St
Rupert, ID 83350-2055
Phone
(208) 434-2848
NPI assigned
Jun 14, 2016
Last updated
Jun 14, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2016

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

Authorized official

Name
Mr. Michael Manning
Title
Ceo
Phone
(208) 434-2848

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

103 S Oneida St
Rupert, ID 83350-2055

Mailing address

103 S Oneida St
Rupert, ID 83350-2055
Phone (208) 434-2848

Other identifiers 1

IdentifierTypeStateIssuer
808562800MedicaidID

National Provider Directory

National Provider Directory

Locations

103 S Oneida St
Rupert, ID 83350
Phone (208) 434-2848

NPI Registry JSON

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

{
    "created_epoch": "1465862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465862400000",
    "number": "1346690070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 S ONEIDA ST",
            "city": "RUPERT",
            "state": "ID",
            "postal_code": "833502055",
            "telephone_number": "208-434-2848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 S ONEIDA ST",
            "city": "RUPERT",
            "state": "ID",
            "postal_code": "833502055",
            "telephone_number": "208-434-2848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATOB SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-14",
        "last_updated": "2016-06-14",
        "status": "A",
        "authorized_official_last_name": "MANNING",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "208-434-2848",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "808562800",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rupert, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.