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BLAINE COUNTY AMBULANCE DISTRICT
NPI 1083614036
Ambulance - Land Transport in Ketchum, ID

Active since July 29, 2005CLIA 13D2004717 · Waiver
480 E AVENUE N, KETCHUM, ID 83340(208) 788-5505 Get Directions Write a Review

NPPES record last updated: December 17, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 17, 2019, Aug 24, 2018 (2 updates tracked since 2018).

About Blaine County Ambulance District NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLAINE COUNTY AMBULANCE DISTRICT (NPI 1083614036) is a healthcare organization registered as a land transport in Ketchum, Idaho and active in the NPI registry since July 2005. The organization holds a CLIA Waiver certificate valid through October 28, 2027 and lists Jolynn Drage, Clerk, Auditor And Recorder, as its authorized official.

NPPES Registry Identity

NPI1083614036
Entity TypeOrganization
Primary Taxonomy3416L0300X
Legal Business NameBLAINE COUNTY
Location Address480 E AVENUE NKetchum, ID 83340
Mailing Address206 S 1st Ave, Suite 200Hailey, ID 83333-8429
Phone(208) 788-5505
Organization SubpartNo
Authorized OfficialJolynn DrageClerk, Auditor And Recorder · (208) 788-5505
Enumeration DateJuly 29, 2005
Last NPPES UpdateDecember 17, 20192 updates tracked since enumeration
✔ NPI 1083614036 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulance · Land TransportTransportation Services
Taxonomy Code3416L0300X
480 E AVENUE N, Ketchum, ID 83340
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Other Names 1

Doing Business AsBlaine County Ambulance District

Other Identifiers 3

Medicaid805848400ID
Other590014405ID · Rrb
Medicaid805848500ID

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 13D2004717

Blaine County Jail-Medical · Hailey, ID
Active · expires Oct 28, 2027
CLIA Number13D2004717
Laboratory TypePrison
Certificate Effective DateOctober 29, 2025
Certificate Expiration DateOctober 28, 2027
Laboratory DirectorSherry D. Stoutin
Laboratory Phone(208) 788-5561
Laboratory LocationBlaine County Jail-Medical1650 Aviation Dr, Hailey, ID 83333
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Ground mileage, per statute mile A0425
Ground mileage per statute mile is a method of calculating the cost of transportation for medical services. It is used when a patient needs to be transported by ground ambulance. The cost is calculated per mile, from the pick-up location to the medical facility.
3,377 services288 patients
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) A0427
Ambulance Service, Advanced Life Support, Level 1 (ALS 1 - Emergency) is a critical care transport service for emergency situations. It includes a team of healthcare professionals equipped with advanced skills and tools to manage life-threatening conditions during transport.
278 services227 patients
Ambulance service, basic life support, emergency transport (bls-emergency) A0429
Ambulance service with basic life support (BLS-Emergency) provides immediate transport for patients in critical situations. Medical professionals on board deliver essential care like CPR, wound dressing, and oxygen therapy to stabilize patients during the journey.
79 services75 patients

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Blaine County's NPI number?

The NPI number for Blaine County is 1083614036. It was assigned to this organization in the NPPES registry on July 29, 2005. The provider is doing business as Blaine County Ambulance District.

Where is Blaine County located?

Blaine County is located at 480 E Avenue N, Ketchum, ID 83340. The listed phone number is (208) 788-5505.

What is Blaine County's specialty?

The primary specialty registered for this NPI is Ambulance, specializing in Land Transport, with taxonomy code 3416L0300X.

Does Blaine County hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 13D2004717) is associated with this NPI, valid through October 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Blaine County was last updated on December 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.