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MOOSE MOUNTAIN SERVICES
NPI 1730484304
Non-emergency Medical Transport (VAN) in Sandpoint, ID

Active since January 12, 2011
3200 GREAT NORTHERN RD, SANDPOINT, ID 83864(770) 375-8176 Get Directions Write a Review

NPPES record last updated: January 12, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Moose Mountain Services NPPES

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

MOOSE MOUNTAIN SERVICES (NPI 1730484304) is a healthcare organization registered as a non-emergency medical transport (van) in Sandpoint, Idaho and active in the NPI registry since January 2011. The organization lists Jesse Jackson, Owner, as its authorized official.

NPPES Registry Identity

NPI1730484304
Entity TypeOrganization
Primary Taxonomy343900000X
Legal Business NameMOOSE MOUNTAIN SERVICES
Location Address3200 GREAT NORTHERN RDSandpoint, ID 83864-9214
Mailing Address3200 Great Northern RdSandpoint, ID 83864-9214 · (770) 375-8176
Phone(770) 375-8176
Organization SubpartNo
Authorized OfficialJesse JacksonOwner · (208) 290-6726
Enumeration DateJanuary 12, 2011
✔ NPI 1730484304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNon-emergency Medical Transport (VAN)Transportation Services
Taxonomy Code343900000X
License✔ Licensed in ID · D144385
Definition
A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations.
3200 GREAT NORTHERN RD, Sandpoint, ID 83864
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Other Identifiers 1

Medicaid110120030ID

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 Moose Mountain Services's NPI number?

The NPI number for Moose Mountain Services is 1730484304. It was assigned to this organization in the NPPES registry on January 12, 2011.

Where is Moose Mountain Services located?

Moose Mountain Services is located at 3200 Great Northern Rd, Sandpoint, ID 83864. The listed phone number is (770) 375-8176.

What is Moose Mountain Services's specialty?

The primary specialty registered for this NPI is Non-emergency Medical Transport (VAN) with taxonomy code 343900000X.

When was this NPI record last updated?

The NPPES record for Moose Mountain Services was last updated on January 12, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.