Priest Lake Emergency Medical Technicians, Inc.

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

7114 Issued in ID

Legal business name

PRIEST LAKE EMERGENCY MEDICAL TECHNICIANS, INC.

Practice address

27929 Highway 57
Priest Lake, ID 83856-9640

Phone

(509) 328-2973

NPI assigned

Jan 19, 2007

Last updated

Mar 6, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Patty A Syhlman

Title

Insurance Biller

Phone

(509) 328-2973

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Locations

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362528000000",
    "number": "1669525978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27929 HIGHWAY 57",
            "city": "PRIEST LAKE",
            "state": "ID",
            "postal_code": "838569640",
            "telephone_number": "509-328-2973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27929 HIGHWAY 57",
            "city": "PRIEST LAKE",
            "state": "ID",
            "postal_code": "838569640",
            "telephone_number": "509-328-2973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIEST LAKE EMERGENCY MEDICAL TECHNICIANS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2013-03-06",
        "status": "A",
        "authorized_official_last_name": "SYHLMAN",
        "authorized_official_first_name": "PATTY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "INSURANCE BILLER",
        "authorized_official_telephone_number": "509-328-2973"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "ID",
            "license": "7114",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002463800",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Land Ambulance in Priest Lake, ID
• Providers in Priest Lake, ID by specialty
• Land Ambulance in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.