NPIMap

Organization Active NPI

Caribou County

Doing business as Caribou County EMS

  • Land Ambulance
  • Soda Springs, ID
National Provider Identifier
1982696449
Registry record updated Jul 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
5604 Issued in ID
Legal business name
CARIBOU COUNTY
Doing business as
Caribou County EMS
Practice address
40 W Center St
Soda Springs, ID 83276-1531
Phone
(208) 547-2583
Fax
(208) 547-2593
NPI assigned
Aug 19, 2005
Last updated
Jul 19, 2017By the provider in NPPES
Organization subpart
Yes
Parent organization
CARIBOU COUNTYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 19, 2017

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

Authorized official

Name
Linda Hemmert
Title
Admin Assistant
Phone
(208) 547-2583

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 5604 ID Primary

Addresses

Primary practice location

40 W Center St
Soda Springs, ID 83276-1531

Mailing address

PO Box 775
Soda Springs, ID 83276-0775
Phone (208) 547-2583

Other identifiers 1

IdentifierTypeStateIssuer
002328200MedicaidID

Other names 1

  • Caribou 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
O20170720002432 ID Part B Supplier - Ambulance Service Supplier 4880773050 Practice locations: Soda Springs, ID

National Provider Directory

National Provider Directory
Part of
Caribou County EMS

Member organizations 4

Organizations listed as members of this organization in the National Provider Directory.

Locations

40 W Center St
Soda Springs, ID 83276
Phone (208) 547-2583

NPI Registry JSON

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

{
    "created_epoch": "1124409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1500422400000",
    "number": "1982696449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 775",
            "city": "SODA SPRINGS",
            "state": "ID",
            "postal_code": "832760775",
            "telephone_number": "208-547-2583",
            "fax_number": "208-547-2593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 W CENTER ST",
            "city": "SODA SPRINGS",
            "state": "ID",
            "postal_code": "832761531",
            "telephone_number": "208-547-2583",
            "fax_number": "208-547-2593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARIBOU COUNTY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CARIBOU COUNTY",
        "enumeration_date": "2005-08-19",
        "last_updated": "2017-07-19",
        "status": "A",
        "authorized_official_last_name": "HEMMERT",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "ADMIN ASSISTANT",
        "authorized_official_telephone_number": "208-547-2583"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "ID",
            "license": "5604",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002328200",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Caribou County EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Soda Springs, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2017; 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.