MUDLAKE AMBULANCE
NPI 1699854141
Ambulance - Land Transport in Terreton, ID

Q: What is Mudlake Ambulance's NPI number?

The NPI number for Mudlake Ambulance is 1699854141. It was assigned to this organization in the NPPES registry on November 3, 2006.

Q: What is Mudlake Ambulance's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mudlake Ambulance was last updated on July 10, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since November 03, 2006

1055 EAST 1100 NORTH, TERRETON, ID 83450(208) 716-2369 Get Directions Write a Review

NPPES record last updated: July 10, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mudlake Ambulance NPPES

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

MUDLAKE AMBULANCE (NPI 1699854141) is a healthcare organization registered as a land transport in Terreton, Idaho and active in the NPI registry since November 2006. The organization lists Melissa Webster, Treasurer, as its authorized official.

NPPES Registry Identity

NPI1699854141

Entity TypeOrganization

Primary Taxonomy3416L0300X

Legal Business NameMUDLAKE AMBULANCE

Location Address1055 EAST 1100 NORTHTerreton, ID 83450

Mailing AddressPo Box 3362Idaho Falls, ID 83403-3362 · (208) 525-2090

Phone(208) 716-2369

Organization SubpartNo

Authorized OfficialMelissa WebsterTreasurer · (208) 716-2369

Enumeration DateNovember 3, 2006

Last NPPES UpdateJuly 10, 2007

✔ NPI 1699854141 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 · 7714

1055 EAST 1100 NORTH, Terreton, ID 83450

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Other Identifiers 1

Medicare ID-Type Unspecified1504323ID · Provider Number

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 Mudlake Ambulance's NPI number?

The NPI number for Mudlake Ambulance is 1699854141. It was assigned to this organization in the NPPES registry on November 3, 2006.

Where is Mudlake Ambulance located?

Mudlake Ambulance is located at 1055 East 1100 North, Terreton, ID 83450. The listed phone number is (208) 716-2369.

What is Mudlake Ambulance'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 Mudlake Ambulance was last updated on July 10, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.