NPIMap

Organization Active NPI

Midvale Fire Protection District

  • Land Ambulance
  • Midvale, ID
National Provider Identifier
1700051471
Registry record updated Apr 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
5317 Issued in ID
Legal business name
MIDVALE FIRE PROTECTION DISTRICT
Practice address
10 S River Street
Midvale, ID 83645
Phone
(208) 550-1605
NPI assigned
Apr 24, 2008
Last updated
Apr 24, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2008

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

Authorized official

Name
Brian Graham
Title
EMS Supervisor
Phone
(208) 550-1605

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 5317 ID Primary

Addresses

Primary practice location

10 S River Street
Midvale, ID 83645

Mailing address

PO Box 131
Midvale, ID 83645-0131
Phone (208) 550-1605

Other identifiers 2

IdentifierTypeStateIssuer
0024624MedicaidID
000010014799OtherIDBLUE SHIELD

Other names 1

  • Midvale Ambulance Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1208995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208995200000",
    "number": "1700051471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 131",
            "city": "MIDVALE",
            "state": "ID",
            "postal_code": "836450131",
            "telephone_number": "208-550-1605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 S RIVER STREET",
            "city": "MIDVALE",
            "state": "ID",
            "postal_code": "83645",
            "telephone_number": "208-550-1605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDVALE FIRE PROTECTION DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-24",
        "last_updated": "2008-04-24",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "EMS SUPERVISOR",
        "authorized_official_telephone_number": "208-550-1605"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "ID",
            "license": "5317",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0024624",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "000010014799",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Midvale Ambulance",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Midvale, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.