Organization Active NPI

Northwest Paramedic Associates Inc.

  • Land Ambulance
  • Boise, ID
National Provider Identifier
1366647505
Registry record updated Apr 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
8325 Issued in ID
Legal business name
NORTHWEST PARAMEDIC ASSOCIATES INC.
Practice address
10400 W Overland Rd
#105
Boise, ID 83709-1433
Phone
(208) 559-2427
Fax
(855) 563-2427
NPI assigned
Jun 18, 2007
Last updated
Apr 19, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2012

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

Authorized official

Name
Mr. Karl Dewitt Vogt
Title
Owner
Phone
(208) 559-2427

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 8325 ID Primary

Addresses

Primary practice location

10400 W Overland Rd
#105
Boise, ID 83709-1433

Mailing address

10400 W Overland Rd
#105
Boise, ID 83709-1433
Phone (208) 559-2427

Other identifiers 3

IdentifierTypeStateIssuer
804084900MedicaidID
E0930OtherIDBLUE CROSS
000010014961OtherIDBLUE SHIELD

National Provider Directory

National Provider Directory

Locations

305 E 41st St
Garden City, ID 83714
Phone (208) 362-3556

NPI Registry JSON

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

{
    "created_epoch": "1182124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334793600000",
    "number": "1366647505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10400 W OVERLAND RD",
            "address_2": "#105",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837091433",
            "telephone_number": "208-559-2427",
            "fax_number": "855-563-2427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10400 W OVERLAND RD",
            "address_2": "#105",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837091433",
            "telephone_number": "208-559-2427",
            "fax_number": "855-563-2427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST PARAMEDIC ASSOCIATES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-18",
        "last_updated": "2012-04-19",
        "status": "A",
        "authorized_official_last_name": "VOGT",
        "authorized_official_first_name": "KARL",
        "authorized_official_middle_name": "DEWITT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-559-2427",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "ID",
            "license": "8325",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "804084900",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "E0930",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "000010014961",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2012; 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.