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COUNTY OF GEM NPI 1912915448


NPI Information

NPI: 1912915448
Provider Name: COUNTY OF GEM

Doing Business As: GEM COUNTY AMBULANCE

Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

CLIA Number: 13D2211578

Address:
330 E MAIN ST
EMMETT, ID
ZIP 83617
Phone: (208) 365-3684
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COUNTY OF GEM is a land transport ambulance in Emmett, ID. COUNTY OF GEM NPI is 1912915448. The provider is registered as an organization entity type.
The provider Is Doing Business As Gem County Ambulance.

The provider's business location address is:

330 E MAIN ST
EMMETT, ID
ZIP 83617-034
Phone: (208) 365-3684
Fax: (208) 365-3683

The provider's authorized official is Jeanie Edith M. Harris .
The authorized official title is Deputy Emt- Billing and has the following contact phone number (208) 365-3684.

The CLIA number assigned to this NPI record is 13D2211578 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/3/2006 and was last updated on 11/21/2007.


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 Taxonomy Specialization License Number License State Primary
13416L0300XAmbulanceLand Transport7306IDAHOYes

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
1000010015165OTHERIDAHOBLUE SHIELD
21500010OTHERIDAHOMEDICARE ID - TYPE UNSPEC
3275436OTHERIDAHOOMAP
4E019-5OTHERIDAHOBLUE CROSS

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: 5/5/2024

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