NPI age
15 years
Enumerated 2011-01-12
● Active Type 2 · Organization
Moose Mountain Services
Moose Mountain Services is 1 of 120 non-emergency medical transport (van) organizations in Idaho.
Primary specialty
Non-emergency Medical Transport (VAN)
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Jackson
Owner
Last NPPES update
2011-01-12
Source: monthly bulk 2026-05
How this organization compares
Across 120 active non-emergency medical transport (van) providers in Idaho.
NPI age
15 years
↑ 6 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2011 → 2026
2011-01Enumerated in NPPES
2011
2026
Where they practice
Primary practice location
3200 Great Northern Rd
Sandpoint, ID 838649214
Mailing address
3200 Great Northern Rd
Sandpoint, ID 838649214
Authorized official
Jesse Jackson
Owner
📞 2082906726
Specialties
-
Non-emergency Medical Transport (VAN) PrimaryA 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.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 110120030 |
Practice context
Single-site organization. Only one practice location on file.
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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.