Palouse Area Care & Transport, LLC

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

5918 Issued in ID

Legal business name

PALOUSE AREA CARE & TRANSPORT, LLC

Doing business as

Pact EMS

Practice address

521 N Main St
Moscow, ID 83843-2615

Phone

(855) 722-8367

NPI assigned

Feb 5, 2014

Last updated

Jun 17, 2020By 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

Troy Zakariasen

Title

Manager

Phone

(855) 722-8367

Specialties & licenses 1

Addresses

Other names 1

• PACT EMS Doing business as

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Locations

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

{
    "created_epoch": "1391558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592352000000",
    "number": "1437573946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 N MAIN ST",
            "city": "MOSCOW",
            "state": "ID",
            "postal_code": "838432615",
            "telephone_number": "855-722-8367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 N MAIN ST",
            "city": "MOSCOW",
            "state": "ID",
            "postal_code": "838432615",
            "telephone_number": "855-722-8367"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2704 Clearwater Ave",
            "address_purpose": "LOCATION",
            "city": "Lewiston",
            "state": "ID",
            "postal_code": "835013235",
            "country_code": "US",
            "telephone_number": "855-722-8367",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PALOUSE AREA CARE & TRANSPORT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-05",
        "last_updated": "2020-06-17",
        "certification_date": "2020-06-17",
        "status": "A",
        "authorized_official_last_name": "ZAKARIASEN",
        "authorized_official_first_name": "TROY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "855-722-8367"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "ID",
            "license": "5918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PACT EMS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PACT EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lydia Pagel
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• Palouse Acupuncture (Shift Medicine Clinic)
• Palouse Area Care & Transport
• Palouse Foot & Ankle Clinic
• Palouse Holistic Health & Aesthetics
• Palouse Imaging Consultants, PLLC
• Palouse Oral & Maxillofacial Surgery
• Palouse Pediatric Dentistry

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2020; 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.