NPIMap

Organization Active NPI

Home and Away Medical Transport

  • Non-emergency Medical Transport (VAN)
  • Post Falls, ID
National Provider Identifier
1528418449
Registry record updated Jun 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
HOME AND AWAY MEDICAL TRANSPORT
Practice address
1421 W Poleline Ave
Post Falls, ID 83854-9828
Phone
(208) 704-0153
NPI assigned
Jun 21, 2016
Last updated
Jun 21, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2016

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

Authorized official

Name
William Charles Hathaway
Title
Owner
Phone
(208) 704-0153

Specialties & licenses 1

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

Addresses

Primary practice location

1421 W Poleline Ave
Post Falls, ID 83854-9828

Mailing address

1421 W Poleline Ave
Post Falls, ID 83854-9828
Phone (208) 704-0153

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1466467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466467200000",
    "number": "1528418449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1421 W POLELINE AVE",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838549828",
            "telephone_number": "208-704-0153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 W POLELINE AVE",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838549828",
            "telephone_number": "208-704-0153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME AND AWAY MEDICAL TRANSPORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-21",
        "last_updated": "2016-06-21",
        "status": "A",
        "authorized_official_last_name": "HATHAWAY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-704-0153"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Post Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.