Organization Active NPI

County of Power

Doing business as Power County Ambulance District

  • Land Ambulance
  • American Falls, ID
National Provider Identifier
1881691491
Registry record updated Jan 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
7620 Issued in ID
Legal business name
COUNTY OF POWER
Doing business as
Power County Ambulance District
Power County EMS
Practice address
560 N Oregon TRL
American Falls, ID 83211-1800
Phone
(208) 226-5605
Fax
(208) 226-7829
NPI assigned
Jun 29, 2005
Last updated
Jan 8, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2024

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

Authorized official

Name
Ronald Funk
Title
Board Chairman
Phone
(208) 339-2129

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 7620 ID Primary

Addresses

Primary practice location

560 N Oregon TRL
American Falls, ID 83211-1800

Mailing address

543 Bannock Ave
American Falls, ID 83211-1200
Phone (208) 226-5605

Other names 2

  • Power County Ambulance District Doing business as
  • Power County EMS Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040616001118 ID Part B Supplier - Ambulance Service Supplier 2466436431 Practice locations: American Falls, ID; Rockland, ID

National Provider Directory

National Provider Directory

Locations

543 Bannock Ave
American Falls, ID 83211

560 N Oregon Trl
American Fls, ID 83211
Phone (208) 226-5605

NPI Registry JSON

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

{
    "created_epoch": "1120003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704672000000",
    "number": "1881691491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "543 BANNOCK AVE",
            "city": "AMERICAN FALLS",
            "state": "ID",
            "postal_code": "832111200",
            "telephone_number": "208-226-5605",
            "fax_number": "208-226-7829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 N OREGON TRL",
            "city": "AMERICAN FALLS",
            "state": "ID",
            "postal_code": "832111800",
            "telephone_number": "208-226-5605",
            "fax_number": "208-226-7829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF POWER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-29",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A",
        "authorized_official_last_name": "FUNK",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "BOARD CHAIRMAN",
        "authorized_official_telephone_number": "208-339-2129"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "ID",
            "license": "7620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Power County Ambulance District",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Power County EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in American Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.