Active NPI
Plummer Gateway Fire Protection
- Ambulance
- Plummer, ID
National Provider Identifier
1861741282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 8144
- Legal business name
- PLUMMER GATEWAY FIRE PROTECTION
- Practice address
- 609 Poleyard Rd
Plummer, ID 83851 - Phone
- (208) 686-1313
- NPI assigned
- Aug 30, 2012
- 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
- Michael Meagher
- Title
- Fire Chief
- Phone
- (208) 686-1313
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 8144 | ID | Primary |
Addresses
Primary practice location
609 Poleyard Rd
Plummer, ID 83851
Mailing address
PO Box 328
Plummer, ID 83851-0328
Phone (208) 686-1313
Other names 1
- Gateway Fire Ambulance Service
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20121206000490 | ID | Part B Supplier - Ambulance Service Supplier | 1355593807 | Practice locations: Plummer, ID |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346284800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1348185600000",
"number": "1861741282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 328",
"city": "PLUMMER",
"state": "ID",
"postal_code": "838510328",
"telephone_number": "208-686-1313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "609 POLEYARD RD",
"city": "PLUMMER",
"state": "ID",
"postal_code": "83851",
"telephone_number": "208-686-1313"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PLUMMER GATEWAY FIRE PROTECTION",
"organizational_subpart": "NO",
"enumeration_date": "2012-08-30",
"last_updated": "2012-09-21",
"status": "A",
"authorized_official_last_name": "MEAGHER",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "FIRE CHIEF",
"authorized_official_telephone_number": "208-686-1313"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "ID",
"license": "8144",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Gateway Fire Ambulance Service",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Plummer, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2012; 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.