SOUTH CUSTER AMBULANCE
NPI 1487764551
Ambulance - Land Transport in Mackay, ID
- Organization
- Ambulance
- Land Transport
About SOUTH CUSTER AMBULANCE
This page provides the complete NPI Profile along with additional information for South Custer Ambulance, a provider established in Mackay, Idaho operating as a Ambulance, focusing in land transport . The healthcare provider is registered in the NPI registry with number 1487764551 assigned on August 2006. The practitioner's primary taxonomy code is 3416L0300X with license number 7712 (ID). The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's is doing business as South Custer Ambulance. The authorized official of this NPI record is Wayne Butts (Chairman Of The Board Of Custer Cou)
- NPI
- 1487764551 Verify this NPI
- Provider Legal Name
- CUSTER COUNTY
- Other Organization Name
- SOUTH CUSTER AMBULANCE
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 202 MCCALEB STREET MACKAY, ID 83251
- Location Phone
- (208) 588-2603
- Mailing Address
- PO BOX 385 CHALLIS, ID 83226
- Mailing Phone
- (208) 879-2360
- Mailing Fax
- (406) 542-2785
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-30-2006
- Last Update Date
- 06-13-2023
- Code Navigator
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 Land Transport
- Taxonomy Code
- 3416L0300X
- Type
- Transportation Services
- License No.
- 7712
- License State
- ID
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 002504700 | MEDICAID (05) | ID | |
| E0609 | OTHER (01) | ID | BCBS |
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1487764551, enumerated as an "organization" on August 30, 2006.
The provider is located at 202 MCCALEB STREET MACKAY, ID 83251 and the phone number is (208) 588-2603.
Ambulance with taxonomy code 3416L0300X and a focus in Land Transport.
The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to verify.
