Active NPI
Parma Rural Fire Protection District
Doing business as Parma Ambulance Service
- Land Ambulance
- Parma, ID
National Provider Identifier
1629036322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 7303
- Legal business name
- PARMA RURAL FIRE PROTECTION DISTRICT
- Doing business as
- Parma Ambulance Service
- Practice address
- 29200 Highway 95
Parma, ID 83660 - Phone
- (208) 250-5041
- Fax
- (208) 722-6205
- NPI assigned
- May 2, 2006
- Last updated
- Feb 6, 2021
- 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
- John R Ungaretti, CCEMTP
- Title
- General Manager
- Phone
- (406) 549-7104
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 7303 | ID | Primary |
Addresses
Primary practice location
29200 Highway 95
Parma, ID 83660
Mailing address
PO Box 429
Parma, ID 83660-0429
Phone (208) 722-5716
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002806600 | Medicaid | ID | |
| 10014289 | Other | ID | REGENCE BC/BS |
| E0427 | Other | ID | IDAHO BC/BS |
| 298980 | Medicaid | OR |
Other names 1
- Parma Ambulance Service
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090716000267 | ID | Part B Supplier - Ambulance Service Supplier | 0042362477 | Practice locations: Parma, ID |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146528000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1612569600000",
"number": "1629036322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 429",
"city": "PARMA",
"state": "ID",
"postal_code": "836600429",
"telephone_number": "208-722-5716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29200 HIGHWAY 95",
"city": "PARMA",
"state": "ID",
"postal_code": "83660",
"telephone_number": "208-250-5041",
"fax_number": "208-722-6205"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PARMA RURAL FIRE PROTECTION DISTRICT",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-02",
"last_updated": "2021-02-06",
"certification_date": "2021-02-06",
"status": "A",
"authorized_official_last_name": "UNGARETTI",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "GENERAL MANAGER",
"authorized_official_telephone_number": "406-549-7104",
"authorized_official_credential": "CCEMTP"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "ID",
"license": "7303",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002806600",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BC/BS",
"identifier": "10014289",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IDAHO BC/BS",
"identifier": "E0427",
"state": "ID"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "298980",
"state": "OR"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Parma Ambulance Service",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Parma Ambulance Service",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Parma, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2021; 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.