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COUNTY OF CLARK
NPI 1679791412
Ambulance - Land Transport in Dubois, ID

Active since April 24, 2007
332 W MAIN, DUBOIS, ID 83423(208) 374-5304(208) 374-5609 Get Directions Write a Review

NPPES record last updated: March 23, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About County Of Clark NPPES

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

COUNTY OF CLARK (NPI 1679791412), doing business as Clark County Ambulance, is a healthcare organization registered as a land transport in Dubois, Idaho and active in the NPI registry since April 2007. The organization lists Sheree W Farr, Ems Director/emergency Manager, as its authorized official.

NPPES Registry Identity

NPI1679791412
Entity TypeOrganization
Primary Taxonomy3416L0300X
Legal Business NameCOUNTY OF CLARK
Location Address332 W MAINDubois, ID 83423-0205
Mailing AddressPo Box 205, 224 West MainDubois, ID 83423-0205 · (208) 374-5304 · Fax (208) 374-5609
Phone(208) 374-5304
Fax(208) 374-5609
Organization SubpartNo
Authorized OfficialSheree W FarrEms Director/emergency Manager · (208) 768-7549
Enumeration DateApril 24, 2007
Last NPPES UpdateMarch 23, 2026
NPPES CertifiedMarch 23, 2026
✔ NPI 1679791412 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulance · Land TransportTransportation Services
Taxonomy Code3416L0300X
332 W MAIN, Dubois, ID 83423
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Other Names 1

Doing Business AsClark County Ambulance

Other Identifiers 2

Medicaid0028083ID
Other7702ID · State License

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

County Of Clark is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateIdahoEnrollment IDO20120423000398Non-DME Part B · Ambulance Service SupplierDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

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 County Of Clark's NPI number?

The NPI number for County Of Clark is 1679791412. It was assigned to this organization in the NPPES registry on April 24, 2007. The provider is doing business as Clark County Ambulance.

Where is County Of Clark located?

County Of Clark is located at 332 W Main, Dubois, ID 83423. The listed phone number is (208) 374-5304.

What is County Of Clark's specialty?

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

Is County Of Clark enrolled in Medicare?

Yes. County Of Clark is registered in the Medicare PECOS enrollment system.

When is County Of Clark's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Idaho, Ambulance Service Supplier) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

When was this NPI record last updated?

The NPPES record for County Of Clark was last updated on March 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.