City of Kamiah

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

#7202 Issued in ID

Legal business name

CITY OF KAMIAH

Doing business as

City of Kamiah Ambulance

Practice address

515 Main St
Kamiah, ID 83536-0338

Phone

(208) 935-2672

Fax

(208) 935-0697

NPI assigned

Sep 12, 2006

Last updated

Aug 14, 2025By 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

Cody Dean KillmarNPI 1093520298

Title

Ambulance Auditor

Phone

(208) 628-3420

Specialties & licenses 1

Addresses

Other identifiers 5

Other names 1

• City of Kamiah Ambulance Doing business as

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Locations

Practitioners 1

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.

• Cody Dean Killmar, PARAMEDIC

  • Paramedic
  • Riggins, ID
  • NPI 1093520298
  NPD Authorized official

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755129600000",
    "number": "1699879304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3510",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983833510",
            "telephone_number": "360-394-7020",
            "fax_number": "360-394-7099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 MAIN ST",
            "city": "KAMIAH",
            "state": "ID",
            "postal_code": "835360338",
            "telephone_number": "208-935-2672",
            "fax_number": "208-935-0697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF KAMIAH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-12",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-12",
        "status": "A",
        "authorized_official_last_name": "KILLMAR",
        "authorized_official_first_name": "CODY",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "AMBULANCE AUDITOR",
        "authorized_official_telephone_number": "208-628-3420"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "ID",
            "license": "#7202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "000010014334",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590005822",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "E010-4",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0028062",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WASHINGTON MEDICAID",
            "identifier": "9000704",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "City of Kamiah Ambulance",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "City of Kamiah Ambulance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Adam C. Dayley, O.D., P.C. (Looking Glass Eye Clinic)
• Arnzen Super Drug, Inc (Arnzen's Kamiah Drug)
• Arnzen Super Drug, Inc. (Kamiah Drug)
• Kimberly K. Bartholomew, D.C.
• Comfort Connection Northwest
• Marnell June Frizzell, APRN FNP
• Charles Perry Green
• Karen Hendren, LCSW
• Kamiah JT. School District

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2025; 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.