NPIMap

Organization Active NPI

County of Oneida

  • Land Ambulance
  • Malad City, ID
National Provider Identifier
1770788929
Registry record updated Jan 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
4610 Issued in 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
Last updated
Jan 5, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2009

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

Authorized official

Name
Mrs. Kari D Vogt
Title
Owner
Phone
(208) 345-1950

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 4610 ID Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081231000405 ID Part B Supplier - Ambulance Service Supplier 7012079221 Practice locations: Malad City, ID

National Provider Directory

National Provider Directory

Member organizations 6

Organizations listed as members of this organization in the National Provider Directory.

Locations

10 W Court St
Malad City, ID 83252
Phone (208) 766-4383

85 E 50 S
Malad City, ID 83252
Phone (208) 766-5433

Ownership & related parties

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Nell J Redfield Memorial HospitalMalad City, ID, CCN 131303 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1966
Oneida County HospitalMalad City, ID, CCN 13Z303 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1966
Nell J Redfield Memorial HospitalMalad City, ID, CCN 135062 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF		 Jul 1, 1999
Jul 1, 1999
Oneida County HospitalMalad City, ID, CCN 138509 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1966

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

NPI Registry JSON

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

{
    "created_epoch": "1182124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231113600000",
    "number": "1770788929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 44740",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837110740",
            "telephone_number": "208-345-1950",
            "fax_number": "208-429-6565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 W COURT ST",
            "city": "MALAD CITY",
            "state": "ID",
            "postal_code": "832521275",
            "telephone_number": "208-766-4383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF ONEIDA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-18",
        "last_updated": "2009-01-05",
        "status": "A",
        "authorized_official_last_name": "VOGT",
        "authorized_official_first_name": "KARI",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-345-1950",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "ID",
            "license": "4610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Malad City, ID

Sources for this page

Verify at the official NPI Registry.