NPI 1174130074 · live from the CMS NPI Registry
Shoshone County Ambulance Service District
Ambulance, Land Transport in Osburn, ID. National Provider Identifier 1174130074, active.
NPI record
| NPI | 1174130074 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Ambulance, Land Transport 3416L0300X |
| Practice location | 58738 Silver Valley Road, Osburn, ID 83849 |
| Practice phone | 208-512-2660 |
| Mailing address | Po Box 488, Osburn, ID 83849 |
| Enumerated | September 25, 2020 |
| Last updated | August 31, 2026 |
| Authorized official | Scott Dietrich, Ems Chief |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulance | 341600000X | — |
| Ambulance, Land Transport primary | 3416L0300X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.