Cascade Rural Fire Protection District

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

#7410 Issued in ID

Legal business name

CASCADE RURAL FIRE PROTECTION DISTRICT

Doing business as

Cascade Rural Fire & EMS

Practice address

109 E Pine
Cascade, ID 83611

Phone

(208) 630-3837

NPI assigned

Sep 8, 2006

Last updated

Dec 7, 2009By 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

L Kathleen Cammack

Title

Billling Agent

Phone

(208) 337-4254

Specialties & licenses 1

Addresses

Other identifiers 6

Other names 1

• Cascade Rural Fire & EMS Doing business as

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

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

{
    "created_epoch": "1157673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260144000000",
    "number": "1760586994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 825",
            "city": "CASCADE",
            "state": "ID",
            "postal_code": "836110825",
            "telephone_number": "208-382-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 E PINE",
            "city": "CASCADE",
            "state": "ID",
            "postal_code": "83611",
            "telephone_number": "208-630-3837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASCADE RURAL FIRE PROTECTION DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-08",
        "last_updated": "2009-12-07",
        "status": "A",
        "authorized_official_last_name": "CAMMACK",
        "authorized_official_first_name": "L KATHLEEN",
        "authorized_official_title_or_position": "BILLLING AGENT",
        "authorized_official_telephone_number": "208-337-4254"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "ID",
            "license": "#7410",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "000010014874",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0025768",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMAP",
            "identifier": "244075",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL",
            "identifier": "4731133",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590014894",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "E7414",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cascade Rural Fire & EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2009; 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.