NPIMap

Organization Active NPI

City of Horseshoe Bend

Doing business as City of Horseshoe Bend Ambulance

  • Land Ambulance
  • Horseshoe Bend, ID
National Provider Identifier
1811916984
Registry record updated Apr 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
5402 Issued in ID
Legal business name
CITY OF HORSESHOE BEND
Doing business as
City of Horseshoe Bend Ambulance
Horseshoe Bend Ambulance
Practice address
112 Adams Street
Horseshoe Bend, ID 83629-0246
Phone
(208) 793-2219
Fax
(208) 793-2403
NPI assigned
Jul 19, 2006
Last updated
Apr 21, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2025

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

Authorized official

Name
Gina Elmer
Title
Treasurer
Phone
(208) 793-2219

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 5402 ID Primary

Addresses

Primary practice location

112 Adams Street
Horseshoe Bend, ID 83629-0246

Mailing address

PO Box 246
Horseshoe Bend, ID 83629-0246
Phone (208) 793-2219

Other identifiers 4

IdentifierTypeStateIssuer
590014035OtherIDRAILROAD MEDICARE
0028595MedicaidID
000010014267OtherIDREGENCE BLUE SHIELD OF ID
E0468OtherIDBLUE CROSS

Other names 2

  • City of Horseshoe Bend Ambulance Doing business as
  • Horseshoe Bend Ambulance Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121115000548 ID Part B Supplier - Ambulance Service Supplier 2163673328 Practice locations: Horseshoe Bend, 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": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745193600000",
    "number": "1811916984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 246",
            "city": "HORSESHOE BEND",
            "state": "ID",
            "postal_code": "836290246",
            "telephone_number": "208-793-2219",
            "fax_number": "208-793-2403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 ADAMS STREET",
            "city": "HORSESHOE BEND",
            "state": "ID",
            "postal_code": "836290246",
            "telephone_number": "208-793-2219",
            "fax_number": "208-793-2403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF HORSESHOE BEND",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2025-04-21",
        "certification_date": "2025-04-21",
        "status": "A",
        "authorized_official_last_name": "ELMER",
        "authorized_official_first_name": "GINA",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "208-793-2219"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "ID",
            "license": "5402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590014035",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0028595",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE SHIELD OF ID",
            "identifier": "000010014267",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "E0468",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "City of Horseshoe Bend Ambulance",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "City of Horseshoe Bend Ambulance",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Horseshoe Bend Ambulance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Horseshoe Bend, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2025; 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.