CANYON COUNTY AMBULANCE DISTRICT
NPI 1114926151
Ambulance in Caldwell, ID

Q: What is Canyon County Ambulance District's NPI number?

The NPI number for Canyon County Ambulance District is 1114926151. It was assigned to this organization in the NPPES registry on July 20, 2005.

Q: What is Canyon County Ambulance District's specialty?

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

Active since July 20, 2005CLIA 13D1098212 · Waiver

6116 GRAYE LANE, CALDWELL, ID 83607(208) 795-6920(208) 795-6921 Get Directions Write a Review

NPPES record last updated: December 18, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Canyon County Ambulance District NPPES

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

CANYON COUNTY AMBULANCE DISTRICT (NPI 1114926151) is a healthcare organization registered as an ambulance in Caldwell, Idaho and active in the NPI registry since July 2005. The organization holds a CLIA Waiver certificate valid through April 13, 2027 and lists Greg D Owen, Director, as its authorized official.

NPPES Registry Identity

NPI1114926151

Entity TypeOrganization

Primary Taxonomy341600000X

Legal Business NameCANYON COUNTY AMBULANCE DISTRICT

Location Address6116 GRAYE LANECaldwell, ID 83607-8072

Mailing Address6116 Graye LaneCaldwell, ID 83607-8072 · (208) 795-6920 · Fax (208) 795-6921

Phone(208) 795-6920

Fax(208) 795-6921

Organization SubpartNo

Authorized OfficialGreg D OwenDirector · (208) 795-6920

Enumeration DateJuly 20, 2005

Last NPPES UpdateDecember 18, 2012

✔ NPI 1114926151 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAmbulanceTransportation Services

Taxonomy Code341600000X

License✔ Licensed in ID · 7479

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).

Also ListedAmbulance · Land TransportTaxonomy 3416L0300X · License 8301 (ID)

6116 GRAYE LANE, Caldwell, ID 83607

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Other Identifiers 6

Medicare ID-Type Unspecified590157469ID · Railroad Medicare

Other000010014692ID · Blue Shield Of Idaho

Medicare ID-Type Unspecified1504736ID · Cigna Government Services

OtherE007-0DE · Blue Cross Of Idaho

Other5816ID · Upr Employee Health Syst

Medicaid002623200ID

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 13D1098212

Canyon County Ambulance District · Caldwell, ID

Active · expires Apr 13, 2027

CLIA Number13D1098212

Laboratory TypeAmbulance

Certificate Effective DateApril 14, 2025

Certificate Expiration DateApril 13, 2027

Laboratory DirectorKari Peterson

Laboratory Phone(208) 795-6920

Laboratory LocationCanyon County Ambulance District6116 Graye Lane, Caldwell, ID 83607

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 7

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.

14,361 services1,497 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.

1,538 services1,167 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.

457 services382 patients

Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) A0426

Ambulance Service, Advanced Life Support, Non-Emergency Transport, Level 1 (ALS 1) is a medical transportation service for patients who don't have an immediate life-threatening condition but require advanced medical monitoring or interventions during the journey.

50 services49 patients

Specialty care transport (sct) A0434

Specialty Care Transport (SCT) is a level of medical transport service for critically ill or injured patients. It involves healthcare professionals with advanced skills and equipment to provide continuous care during transport, ensuring patient's safety and well-being.

47 services47 patients

Advanced life support, level 2 (als 2) A0433

Advanced Life Support Level 2 (ALS 2) is a medical service provided during emergencies. It involves advanced procedures like defibrillation, medication administration or endotracheal intubation by trained professionals to stabilize critical patients.

39 services38 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 Canyon County Ambulance District's NPI number?

The NPI number for Canyon County Ambulance District is 1114926151. It was assigned to this organization in the NPPES registry on July 20, 2005.

Where is Canyon County Ambulance District located?

Canyon County Ambulance District is located at 6116 Graye Lane, Caldwell, ID 83607. The listed phone number is (208) 795-6920.

What is Canyon County Ambulance District's specialty?

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

Does Canyon County Ambulance District hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 13D1098212) is associated with this NPI, valid through April 13, 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 Canyon County Ambulance District was last updated on December 18, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.