NPI 1114926151 · live from the CMS NPI Registry
Canyon County Ambulance District
Ambulance in Caldwell, ID. National Provider Identifier 1114926151, active.
NPI record
| NPI | 1114926151 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Ambulance 341600000X |
| Practice location | 6116 Graye Lane, Caldwell, ID 83607 |
| Practice phone | 208-795-6920 |
| Enumerated | July 20, 2005 |
| Last updated | December 18, 2012 |
| Authorized official | Greg Owen, Director |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulance, Land Transport | 3416L0300X | 8301 (ID) |
| Ambulance primary | 341600000X | 7479 (ID) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.