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.
Provyx · Custom healthcare lists
Need all 33 Ambulance providers in Idaho?
Provyx verifies the list to your scope. Business emails and direct lines are looked up at delivery, validated, and not stored.
Request a quote →How to verify this organization
- 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.