KOOSKIA AMBULANCE
NPI 1114142833
Ambulance in Kooskia, ID

NPI Status: Active since April 16, 2007

Contact Information

001 4TH AVE
KOOSKIA, ID
ZIP 83539
Phone: (208) 926-0172

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  • Organization
  • Ambulance
  • CLIA Number: 13D2212385
  • CLIA Cert. Type: Ambulance
  • CLIA Exp. Date: 02-03-2027

About KOOSKIA AMBULANCE

This page provides the complete NPI Profile along with additional information for Kooskia Ambulance, a provider established in Kooskia, Idaho operating as a Ambulance. The healthcare provider is registered in the NPI registry with number 1114142833 assigned on April 2007. The practitioner's primary taxonomy code is 341600000X with license number 7215 (ID). The provider is registered as an organization and their NPI record was last updated 11 years ago. The provider's is doing business as Kooskia Ambulance. The authorized official of this NPI record is Wendy Diane Engbrecht (Secretary/treasurer)

NPI
1114142833
Provider Legal Name
CITY OF KOOSKIA
Other Organization Name
KOOSKIA AMBULANCE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
001 4TH AVE KOOSKIA, ID 83539
Location Phone
(208) 926-0172
Mailing Address
PO BOX 339 KOOSKIA, ID 83539
Mailing Phone
(208) 926-4858
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-16-2007
Last Update Date
12-11-2015
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Ambulance

Taxonomy Code
341600000X
Type
Transportation Services
License No.
7215
License State
ID
Taxonomy Description
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).

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

WENDY DIANE ENGBRECHT

Authorized Official Title
SECRETARY/TREASURER
Authorized Official Phone
(208) 926-4858

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)

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.

This service was performed 43 times for 36 patients

Ambulance service, basic life support, emergency transport (bls-emergency)

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.

This service was performed 43 times for 34 patients

Ground mileage, per statute mile

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.

This service was performed 2,395 times for 63 patients

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
13D2212385
Facility Type
Ambulance
Certificate Effective Date
February 04, 2025
Certificate Expiration Date
February 03, 2027
Laboratory Director
PHILLIP LEGG
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Kooskia Ambulance to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for KOOSKIA AMBULANCE

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1114142833, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
1
Doubled → 2
Pos 4
4
Unchanged
Pos 5
1
Doubled → 2
Pos 6
4
Unchanged
Pos 7
2
Doubled → 4
Pos 8
8
Unchanged
Pos 9
3
Doubled → 6
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 1 → 2 2 → 4 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 2 + 4 + 2 + 4 + 4 + 8 + 6 + 24 = 57

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 57 is 60. The difference is the calculated check digit.

60 - 57 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1114142833.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114142833, enumerated as an "organization" on April 16, 2007.

The provider is located at 001 4TH AVE KOOSKIA, ID 83539 and the phone number is (208) 926-0172.

Ambulance with taxonomy code 341600000X.