P Praxis·MD
● Active Type 2 · Organization

Custer County

Ambulance·MacKay, ID· NPI 1487764551 · Enumerated 2006 · 19 years on NPI
Custer County is 1 of 80 ambulance organizations in Idaho.
NPI age
19 years
Enumerated 2006-08-30
Primary specialty
Ambulance
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Butts
Chairman Of The Board Of Custer Cou
Last NPPES update
2023-06-13
Source: monthly bulk 2026-05

How this organization compares

Across 80 active ambulance providers in Idaho.

NPI age
19 years
≈ at median (19 yr)
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2006 → 2026

2006-08Enumerated in NPPES
2006 2026

Where they practice

Primary practice location
202 McCaleb Street
MacKay, ID 83251
📞 2085882603
Mailing address
Po Box 385
Challis, ID 83226
📞 2088792360fax 4065422785

Authorized official

Wayne Butts
Chairman Of The Board Of Custer Cou
📞 2088792360

Specialties

  • Ambulance Primary
    Definition to come...
    ID license #7712 taxonomy 3416L0300X

Identifiers

TypeValueNotes
05 (ID) 002504700
01 (ID) E0609 BCBS

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • South Custer Ambulance
    Type code 3 recorded 2023-06-12

Practice context

Single-site organization. Only one practice location on file.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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