County of Camas

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

COUNTY OF CAMAS

Doing business as

Camas County Ambulance Service

Practice address

401 Camas Ave W
Fairfield, ID 83327

Phone

(208) 764-2611

NPI assigned

Jul 28, 2005

Organization subpart

No

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

Authorized official

Name

Janet M Croner

Title

Chairman/Director

Phone

(208) 764-2611

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Camas County Ambulance Service Doing business as

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Donald Levin, DO

  • Family Medicine Physician
  • Hailey, ID
  • NPI 1841258621
  NPD (past)
• Brittni McLam, DO

  • Family Medicine Physician
  • Fairfield, ID
  • NPI 1821484957
  NPD (past)
• Jeffery Porter

  • Clinical Social Worker
  • Burley, ID
  • NPI 1568823060
  NPD (past)
• Dean William Rodemack, PA-C

  • Physician Assistant
  • Fairfield, ID
  • NPI 1548543424
  NPD (past)
• Josselyn May Smith, LMSW

  • Social Worker
  • Twin Falls, ID
  • NPI 1124601893
  NPD (past)
• Mary Elizabeth Verhaeghe, PA-C

  • Medical Physician Assistant
  • Bellevue, ID
  • NPI 1407546898
  NPD (past)

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381363200000",
    "number": "1548260805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 430",
            "city": "FAIRFIELD",
            "state": "ID",
            "postal_code": "833270430",
            "telephone_number": "208-764-2611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 CAMAS AVE W",
            "city": "FAIRFIELD",
            "state": "ID",
            "postal_code": "83327",
            "telephone_number": "208-764-2611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF CAMAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-28",
        "last_updated": "2013-10-10",
        "status": "A",
        "authorized_official_last_name": "CRONER",
        "authorized_official_first_name": "JANET",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CHAIRMAN/DIRECTOR",
        "authorized_official_telephone_number": "208-764-2611"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002808100",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Camas County Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Camas County School District #121
• Family Health Services Corporation
• Family Health Services Corporation (Family Health Services Fairfield Pharmacy)
• Garold H Horn, RDH
• Julie A Marosi, RN
• Brittni McLam, DO

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2013; 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.