J K AMBULANCE NPI 1972690451

NPI Information

  • NPI: 1972690451
  • Provider Name: J K AMBULANCE
  • Classification: Ambulance - 341600000X
  • Entity Type: Organization
  • Address: NO STREET ADDRESS N 6TH ST
    KENDRICK, ID
    ZIP 83537
  • Phone: (208) 289-3381

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NPI Details

J K AMBULANCE is an ambulance in Kendrick, ID. The provider is an emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane). J K AMBULANCE NPI is 1972690451. The provider is registered as an organization entity type.

The provider's business location address is:

NO STREET ADDRESS N 6TH ST
KENDRICK, ID
ZIP 83537
Phone: (208) 289-3381
Fax: (208) 289-5050

The provider's authorized official is Perry Shove .
The authorized official title is President and has the following contact phone number (208) 276-3789.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Ground mileage, per statute mile (HCPCS:A0425)
  • Ambulance service, basic life support, emergency transport (bls-emergency) (HCPCS:A0429)

The enumeration date for this NPI number is 10/6/2006 and was last updated on 6/28/2012.

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
1341600000XAmbulance7216IDAHOYes

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
11501775MEDICARE PINIDAHO
2002514200MEDICAIDIDAHO

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: 11/21/2025

NPI Synchronization or Removal

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