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KOOSKIA AMBULANCE
NPI 1114142833
Ambulance in Kooskia, ID

Active since April 16, 2007CLIA 13D2212385 · Waiver
001 4TH AVE, KOOSKIA, ID 83539(208) 926-0172 Get Directions Write a Review

NPPES record last updated: December 11, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kooskia Ambulance NPPES

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

KOOSKIA AMBULANCE (NPI 1114142833) is a healthcare organization registered as an ambulance in Kooskia, Idaho and active in the NPI registry since April 2007. The organization holds a CLIA Waiver certificate valid through February 3, 2027 and lists Wendy Diane Engbrecht, Secretary/treasurer, as its authorized official.

NPPES Registry Identity

NPI1114142833
Entity TypeOrganization
Primary Taxonomy341600000X
Legal Business NameCITY OF KOOSKIA
Location Address001 4TH AVEKooskia, ID 83539
Mailing AddressPo Box 339Kooskia, ID 83539-0339 · (208) 926-4858 · Fax (208) 926-4858
Phone(208) 926-0172
Organization SubpartNo
Authorized OfficialWendy Diane EngbrechtSecretary/treasurer · (208) 926-4858
Enumeration DateApril 16, 2007
Last NPPES UpdateDecember 11, 2015
✔ NPI 1114142833 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulanceTransportation Services
Taxonomy Code341600000X
License✔ Licensed in ID · 7215
Definition

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).

001 4TH AVE, Kooskia, ID 83539
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Other Names 1

Doing Business AsKooskia Ambulance

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 13D2212385

Kooskia Ambulance · Kooskia, ID
Active · expires Feb 3, 2027
CLIA Number13D2212385
Laboratory TypeAmbulance
Certificate Effective DateFebruary 4, 2025
Certificate Expiration DateFebruary 3, 2027
Laboratory DirectorPhillip Legg
Laboratory Phone(406) 564-7166
Laboratory LocationKooskia Ambulance26 S Main St, Kooskia, ID 83539
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.
3,280 services99 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.
70 services66 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.
47 services39 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 City Of Kooskia's NPI number?

The NPI number for City Of Kooskia is 1114142833. It was assigned to this organization in the NPPES registry on April 16, 2007. The provider is doing business as Kooskia Ambulance.

Where is City Of Kooskia located?

City Of Kooskia is located at 001 4th Ave, Kooskia, ID 83539. The listed phone number is (208) 926-0172.

What is City Of Kooskia's specialty?

The primary specialty registered for this NPI is Ambulance with taxonomy code 341600000X.

Does City Of Kooskia hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 13D2212385) is associated with this NPI, valid through February 3, 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 City Of Kooskia was last updated on December 11, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.