Homedale Rural Fire Protection District

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

5302 Issued in ID

Legal business name

HOMEDALE RURAL FIRE PROTECTION DISTRICT

Practice address

9 West Colorado Ave
Homedale, ID 83628

Phone

(208) 482-4662

NPI assigned

Oct 18, 2006

Last updated

Aug 22, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Teresa Irene Uranga Ryska

Title

Ambulance Administrator

Phone

(208) 337-3546

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Homedale Ambulance Assoc Other name

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Locations

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692662400000",
    "number": "1861573438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6116 GRAYE LN",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836078072",
            "telephone_number": "208-795-6930",
            "fax_number": "208-795-6931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 WEST COLORADO AVE",
            "city": "HOMEDALE",
            "state": "ID",
            "postal_code": "83628",
            "telephone_number": "208-482-4662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMEDALE RURAL FIRE PROTECTION DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-18",
        "status": "A",
        "authorized_official_last_name": "URANGA RYSKA",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "IRENE",
        "authorized_official_title_or_position": "AMBULANCE ADMINISTRATOR",
        "authorized_official_telephone_number": "208-337-3546"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "ID",
            "license": "5302",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "000010014554",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002874400",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "E0211",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Homedale Ambulance Assoc",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Homedale Ambulance Assoc",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Community Health Clinics, Inc. (Terry Reilly Health Services)
• Jesse Tyler Cook, DPT
• Reagan E Fernley, PTA
• Stacy Carol Fisher, CMT
• Homedale Healthcare, Inc. (Owyhee Health and Rehabilitation Center)
• Brett J Homstad, DPT
• Idaho Frontier Wellness
• Idaho Street Medical Clinic
• Idaho Street Medical Clinic
• Identistry PLLC

• Land Ambulance in Homedale, ID
• Providers in Homedale, ID by specialty
• Land Ambulance in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.