Active NPI
Teton County Fire Protection Dist
- Land Ambulance
- Driggs, ID
National Provider Identifier
1790136091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 3705
- Legal business name
- TETON COUNTY FIRE PROTECTION DIST
- Practice address
- 911 North Hwy 33
Driggs, ID 83422 - Phone
- (208) 715-5201
- NPI assigned
- Jun 28, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jared Colson
- Title
- Battalion Chief of EMS
- Phone
- (208) 715-5201
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 3705 | ID | Primary |
| Land Ambulance | 3416L0300X | 171 | WY |
Addresses
Primary practice location
911 North Hwy 33
Driggs, ID 83422
Mailing address
PO Box 3510
Silverdale, WA 98383-3510
Phone (360) 394-7020
Other names 1
- Teton County Fire & Rescue
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160826000239 | ID | Part B Supplier - Ambulance Service Supplier | 9830484062 | Practice locations: Driggs, ID; Victor, ID |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Paramedic
- Driggs, ID
- NPI 1538090766
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1467072000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1696464000000",
"number": "1790136091",
"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": "911 NORTH HWY 33",
"city": "DRIGGS",
"state": "ID",
"postal_code": "83422",
"telephone_number": "208-715-5201"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TETON COUNTY FIRE PROTECTION DIST",
"organizational_subpart": "NO",
"enumeration_date": "2016-06-28",
"last_updated": "2023-10-05",
"certification_date": "2023-10-05",
"status": "A",
"authorized_official_last_name": "COLSON",
"authorized_official_first_name": "JARED",
"authorized_official_title_or_position": "BATTALION CHIEF OF EMS",
"authorized_official_telephone_number": "208-715-5201"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "ID",
"license": "3705",
"primary": true
},
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "WY",
"license": "171",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Teton County Fire & Rescue",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Driggs, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2023; 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.