Active NPI
Garden Valley Fire Protection
- Land Ambulance
- Garden Valley, ID
National Provider Identifier
1619394020
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- GARDEN VALLEY FIRE PROTECTION
- Practice address
- 373 S. Middle Fork Rd.
Garden Valley, ID 83622-0000 - Phone
- (208) 462-3175
- Fax
- (208) 462-3175
- NPI assigned
- Mar 24, 2014
- Last updated
- Jul 16, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jon Delvalle
- Title
- Fire Chief
- Phone
- (208) 462-3175
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | ID | Primary |
Addresses
Primary practice location
373 S. Middle Fork Rd.
Garden Valley, ID 83622-0000
Mailing address
PO Box 747
Wheeling, IL 60090-0747
Phone (800) 244-2345
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140821002690 | ID | Part B Supplier - Ambulance Service Supplier | 1456579101 | Practice locations: Garden Valley, ID |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395619200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1405468800000",
"number": "1619394020",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 747",
"city": "WHEELING",
"state": "IL",
"postal_code": "600900747",
"telephone_number": "800-244-2345",
"fax_number": "800-329-5274"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "373 S. MIDDLE FORK RD.",
"city": "GARDEN VALLEY",
"state": "ID",
"postal_code": "836220000",
"telephone_number": "208-462-3175",
"fax_number": "208-462-3175"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GARDEN VALLEY FIRE PROTECTION",
"organizational_subpart": "NO",
"enumeration_date": "2014-03-24",
"last_updated": "2014-07-16",
"status": "A",
"authorized_official_last_name": "DELVALLE",
"authorized_official_first_name": "JON",
"authorized_official_title_or_position": "FIRE CHIEF",
"authorized_official_telephone_number": "208-462-3175"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "ID",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Garden Valley, ID
- Sharon Lynne Cranston
- Crouch Volunteer Ambulance Service, Inc
- DJ Garden Valley Pharmacy (Medicap Pharmacy 8427)
- DJ Garden Valley Pharmacy Inc (Medicap Pharmacy #8427)
- Garden Valley Family Medicine PC
- Michael R Koenig, MD
- Lifestar Rural EMS Solutions
- Meador Family Therapy LLC
- Jared Harris Moser, PA-C
- Trina R Omorefe, LMSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2014; 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.