POCATELLO LIMOUSINE LLP NPI 1245742097

NPI Information

NPI: 1245742097
Provider Name: POCATELLO LIMOUSINE LLP
Classification: Private Vehicle - 347C00000X
Entity Type: Organization
Address:
717 W ELDREDGE RD
POCATELLO, ID
ZIP 83201
Phone: (208) 480-1250
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POCATELLO LIMOUSINE LLP is a private vehicle in Pocatello, ID. The provider is an individual paid to provide non-emergency transportation using their privately owned/leased vehicle. POCATELLO LIMOUSINE LLP NPI is 1245742097. The provider is registered as an organization entity type.

The provider's business location address is:

717 W ELDREDGE RD
POCATELLO, ID
ZIP 83201-620
Phone: (208) 480-1250

The provider's authorized official is Chad A Davies .
The authorized official title is Owner and has the following contact phone number (208) 589-3937.

The enumeration date for this NPI number is 11/2/2017 and was last updated on 11/2/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	License State	Primary
1	343800000X	Secured Medical Transport (VAN)	IDAHO	No
2	343900000X	Non-emergency Medical Transport (VAN)	IDAHO	No
3	347B00000X	Bus	IDAHO	No
4	347C00000X	Private Vehicle	IDAHO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1922463751	MEDICAID	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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