NPI age
19 years
Enumerated 2006-11-03
● Active Type 2 · Organization
Mudlake Ambulance
Mudlake Ambulance is 1 of 80 ambulance organizations in Idaho.
Primary specialty
Ambulance
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Webster
Treasurer
Last NPPES update
2007-07-10
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
2006-11Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
1055 East 1100 North
Terreton, ID 83450
Mailing address
Po Box 3362
Idaho Falls, ID 834033362
Authorized official
Melissa Webster
Treasurer
📞 2087162369
Specialties
-
Ambulance PrimaryDefinition to come...
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 →
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