NPI age
17 years
Enumerated 2008-09-23
● Active Type 2 · Organization
Idaho Medical Transport
Idaho Medical Transport is 1 of 33 ambulance organizations in Idaho.
Primary specialty
Ambulance
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Pruiett
Managing Member
Last NPPES update
2008-09-23
Source: monthly bulk 2026-05
How this organization compares
Across 33 active ambulance providers in Idaho.
NPI age
17 years
↓ 2 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2008 → 2026
2008-09Enumerated in NPPES
2008
2026
Where they practice
Primary practice location
1924 E Preakness Ave
Coeur D Alene, ID 838159428
Mailing address
1924 E Preakness Ave
Coeur D Alene, ID 838159428
Authorized official
Marshel Byron Pruiett
Managing Member
📞 2087777719
Specialties
-
Ambulance PrimaryAn emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane).
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.