Organization Active NPI

Parma Rural Fire Protection District

Doing business as Parma Ambulance Service

  • Land Ambulance
  • Parma, ID
National Provider Identifier
1629036322
Registry record updated Feb 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
7303 Issued in ID
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, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2021

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
002806600MedicaidID
10014289OtherIDREGENCE BC/BS
E0427OtherIDIDAHO BC/BS
298980MedicaidOR

Other names 1

  • Parma Ambulance Service Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090716000267 ID Part B Supplier - Ambulance Service Supplier 0042362477 Practice locations: Parma, ID

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.