DONNELLY RURAL FIRE PROTECTION DISTRICT
NPI 1114080363
Ambulance - Land Transport in Donnelly, ID

Active since December 19, 2006
244 W ROSEBERRY RD, DONNELLY, ID 83615(208) 325-8619(208) 325-5081 Get Directions Write a Review

NPPES record last updated: May 25, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 25, 2021, Aug 22, 2020 (2 updates tracked since 2020).

About Donnelly Rural Fire Protection District NPPES

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

DONNELLY RURAL FIRE PROTECTION DISTRICT (NPI 1114080363) is a healthcare organization registered as a land transport in Donnelly, Idaho and active in the NPI registry since December 2006. The organization lists Melonie A Skiftun, Secretary, as its authorized official.

NPPES Registry Identity

NPI1114080363
Entity TypeOrganization
Primary Taxonomy3416L0300X
Legal Business NameDONNELLY RURAL FIRE PROTECTION DISTRICT
Location Address244 W ROSEBERRY RDDonnelly, ID 83615-0382
Mailing AddressPo Box 1178Donnelly, ID 83615-1100 · (208) 325-8619 · Fax (208) 325-5081
Fax(208) 325-5081
Organization SubpartNo
Authorized OfficialMelonie A SkiftunSecretary · (208) 325-8619
Enumeration DateDecember 19, 2006
Last NPPES UpdateMay 25, 20212 updates tracked since enumeration
NPPES CertifiedMay 25, 2021
✔ NPI 1114080363 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulance · Land TransportTransportation Services
Taxonomy Code3416L0300X
License✔ Licensed in ID · 7423
244 W ROSEBERRY RD, Donnelly, ID 83615

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Donnelly Rural Fire Protection District is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateIdahoEnrollment IDO20080508000534Non-DME Part B · Ambulance Service SupplierDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

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.
602 services32 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.
25 services21 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.
17 services13 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 Donnelly Rural Fire Protection District's NPI number?

The NPI number for Donnelly Rural Fire Protection District is 1114080363. It was assigned to this organization in the NPPES registry on December 19, 2006.

Where is Donnelly Rural Fire Protection District located?

Donnelly Rural Fire Protection District is located at 244 W Roseberry Rd, Donnelly, ID 83615. The listed phone number is (208) 325-8619.

What is Donnelly Rural Fire Protection District's specialty?

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

Is Donnelly Rural Fire Protection District enrolled in Medicare?

Yes. Donnelly Rural Fire Protection District is registered in the Medicare PECOS enrollment system.

When is Donnelly Rural Fire Protection District's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Idaho, Ambulance Service Supplier) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

When was this NPI record last updated?

The NPPES record for Donnelly Rural Fire Protection District was last updated on May 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.