SOUTH CUSTER AMBULANCE
NPI 1487764551
Ambulance - Land Transport in Mackay, ID

Active since August 30, 2006
202 MCCALEB STREET, MACKAY, ID 83251(208) 588-2603 Get Directions Write a Review

NPPES record last updated: June 13, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 13, 2023, Oct 11, 2022 (2 updates tracked since 2022).

About South Custer Ambulance NPPES

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

SOUTH CUSTER AMBULANCE (NPI 1487764551) is a healthcare organization registered as a land transport in Mackay, Idaho and active in the NPI registry since August 2006. The organization lists Wayne Butts, Chairman Of The Board Of Custer Cou, as its authorized official.

NPPES Registry Identity

NPI1487764551
Entity TypeOrganization
Primary Taxonomy3416L0300X
Legal Business NameCUSTER COUNTY
Location Address202 MCCALEB STREETMackay, ID 83251
Mailing AddressPo Box 385Challis, ID 83226 · (208) 879-2360 · Fax (406) 542-2785
Organization SubpartNo
Authorized OfficialWayne ButtsChairman Of The Board Of Custer Cou · (208) 879-2360
Enumeration DateAugust 30, 2006
Last NPPES UpdateJune 13, 20232 updates tracked since enumeration
NPPES CertifiedJune 13, 2023
NPI 1487764551 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 · 7712
202 MCCALEB STREET, Mackay, ID 83251

Other Names 1

Doing Business AsSouth Custer Ambulance

Other Identifiers 2

Medicaid002504700ID
OtherE0609ID · Bcbs

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 Custer County's NPI number?

The NPI number for Custer County is 1487764551. It was assigned to this organization in the NPPES registry on August 30, 2006. The provider is doing business as South Custer Ambulance.

Where is Custer County located?

Custer County is located at 202 Mccaleb Street, Mackay, ID 83251. The listed phone number is (208) 588-2603.

What is Custer County's specialty?

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

When was this NPI record last updated?

The NPPES record for Custer County was last updated on June 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.