County of Oneida
Organization Active NPI Land Ambulance · Malad City, ID
NPI 1770788929 · NPPES record last updated Jan 5, 2009
Key facts
- NPI
- 1770788929
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- License
- 4610 (ID)
- Legal business name
- COUNTY OF ONEIDA
- Practice address
- 10 W Court St
Malad City, ID 83252-1275 - Phone
- (208) 766-4383
- NPI assigned
- Jun 18, 2007
- Organization subpart
- No
Authorized official
- Name
- Mrs. Kari D Vogt
- Title
- Owner
- Phone
- (208) 345-1950
Owned or controlled facilities with NPI records 4
Member organizations 6
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ID
All facility ownership & control disclosures 4
| Facility | Type | Role | Since |
|---|---|---|---|
| Nell J Redfield Memorial Hospital |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 1966 |
| Oneida County Hospital |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 1966 |
| Nell J Redfield Memorial Hospital |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Adp of the SNF |
Jul 1, 1999 Jul 1, 1999 |
| Oneida County Hospital |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 1966 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20081231000405 | ID | Part B Supplier - Ambulance Service Supplier | 7012079221 | Practice locations: Malad City, ID |
National Provider Directory
Locations
85 E 50 S
Malad City, ID 83252
Phone (208) 766-5433
10 W Court St
Malad City, ID 83252
Phone (208) 766-4383
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 4610 | ID | Yes |
Addresses
Primary practice location
10 W Court St
Malad City, ID 83252-1275
Mailing address
PO Box 44740
Boise, ID 83711-0740
Phone (208) 345-1950
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| E0310 | Other | ID | BLUE CROSS |
| 000010014410 | Other | ID | BLUE SHIELD |
| 002859400 | Medicaid | ID |
Other providers in Malad City, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 5, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.