Organization Active NPI

Shelley-Firth Quick Response Unit

  • Land Ambulance
  • Shelley, ID
National Provider Identifier
1811675564
Registry record updated Feb 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
SHELLEY-FIRTH QUICK RESPONSE UNIT
Practice address
585 W Fir Street
Shelley, ID 83274
Phone
(208) 219-8333
NPI assigned
Jul 11, 2023
Last updated
Feb 2, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2024

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

Authorized official

Name
Lyle Barney
Title
Chief
Phone
(208) 516-0017

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

585 W Fir Street
Shelley, ID 83274

Mailing address

PO Box 254
Firth, ID 83236-0254

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240308003374 ID Part B Supplier - Ambulance Service Supplier 4688010911 Practice locations: Shelley, ID

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1689033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706832000000",
    "number": "1811675564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 254",
            "city": "FIRTH",
            "state": "ID",
            "postal_code": "832360254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "585 W FIR STREET",
            "city": "SHELLEY",
            "state": "ID",
            "postal_code": "83274",
            "telephone_number": "208-219-8333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELLEY-FIRTH QUICK RESPONSE UNIT",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-11",
        "last_updated": "2024-02-02",
        "certification_date": "2024-02-02",
        "status": "A",
        "authorized_official_last_name": "BARNEY",
        "authorized_official_first_name": "LYLE",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "208-516-0017"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelley, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2024; 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.