Active NPI
Genesee Community Firemen Inc.
- Ambulance
- Genesee, ID
National Provider Identifier
1962530105
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 7218
- Legal business name
- GENESEE COMMUNITY FIREMEN INC.
- Practice address
- 132 E. Walnut
Genesee, ID 83832 - Phone
- (208) 285-1762
- NPI assigned
- Mar 1, 2007
- Last updated
- Jun 4, 2018
- 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
- William Krick
- Title
- Chief
- Phone
- (208) 285-1762
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 7218 | ID | Primary |
Addresses
Primary practice location
132 E. Walnut
Genesee, ID 83832
Mailing address
PO Box 187
Genesee, ID 83832-0187
Phone (208) 285-1762
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120118000870 | ID | Part B Supplier - Ambulance Service Supplier | 6507033370 | Practice locations: Genesee, ID |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172707200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1528070400000",
"number": "1962530105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 187",
"city": "GENESEE",
"state": "ID",
"postal_code": "838320187",
"telephone_number": "208-285-1762"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "132 E. WALNUT",
"city": "GENESEE",
"state": "ID",
"postal_code": "83832",
"telephone_number": "208-285-1762"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GENESEE COMMUNITY FIREMEN INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-01",
"last_updated": "2018-06-04",
"status": "A",
"authorized_official_last_name": "KRICK",
"authorized_official_first_name": "WILLIAM",
"authorized_official_title_or_position": "CHIEF",
"authorized_official_telephone_number": "208-285-1762"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "ID",
"license": "7218",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Genesee, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2018; 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.