CITY OF KOOSKIA — NPI 1114142833 (Licensed Emergency Medical Services (EMS) — BLS/ALS Ground & Air Ambulance in KOOSKIA, ID)

CMS-1500 Box 24J / 33a • NPI

1114142833

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

341600000X (CMS 59)

Licensed Emergency Medical Services (EMS) — BLS/ALS Ground & Air Ambulance

Box 32 Service Location & ZIP+4

001 4TH AVE, KOOSKIA, ID, 83539

Official NPPES Practice Location

Practice Phone & Referral Fax

(208) 926-0172

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1114142833 (CITY OF KOOSKIA) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1114142833)

Medicare Beneficiaries

100

Total Billed Services

3,398.6

Distinct CPT/HCPCS Codes

Medicare Allowed Total

$102,688.64

Actual Top Billed CPT / HCPCS Procedures (CMS Part B)

CPT / HCPCS	Clinical Procedure Description	Services
`A0425`	Ground mileage, per statute mile	3,280.6
`A0427`	Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)	70
`A0429`	Ambulance service, basic life support, emergency transport (bls-emergency)	47

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1114142833` (NPI-2 Organization / Facility)
Provider / Legal Name	CITY OF KOOSKIA
Plain-English Specialty	Licensed Emergency Medical Services (EMS) — BLS/ALS Ground & Air Ambulance NUCC Code: `341600000X` (Ambulance)
Certifying / Licensing Body	State EMS Authority / National Registry of Emergency Medical Technicians (NREMT)
Practice Location Address	001 4TH AVE, KOOSKIA, ID, 83539
Practice Telephone / Fax	Tel: (208) 926-0172
Administrative Mailing Address	PO BOX 339, KOOSKIA, ID, 83539-0339
Enumeration & Last Sync	Enumerated: 2007-04-16 \| CMS Record Updated: 2015-12-11
Authorized Official	WENDY ENGBRECHT (Secretary/Treasurer)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

001 4TH AVE, KOOSKIA, ID, 83539

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Plain-English Taxonomy & CMS Crosswalk (341600000X)

What Does Taxonomy Code 341600000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 341600000X translates to:
"Licensed Emergency Medical Services (EMS) — BLS/ALS Ground & Air Ambulance"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 59 (Ambulance Service Provider)
Certifying / Accrediting Authority: State EMS Authority / National Registry of Emergency Medical Technicians (NREMT)
Clinical Scope: Emergency 911 pre-hospital medical response or medically supervised inter-hospital critical care transport.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (CITY OF KOOSKIA)

Typical CPT / Diagnostic Procedures:

Advanced Life Support (ALS) Pre-Hospital Cardiac Monitoring & Defibrillation
Pre-Hospital Trauma Immobilization, Airway Management & IV Access

Common Therapeutic Classes:

Pre-Hospital Epinephrine, Aspirin, Nitroglycerin, Naloxone & Albuterol

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`341600000X` — Ambulance Plain English: Licensed Emergency Medical Services (EMS) — BLS/ALS Ground & Air Ambulance	State: ID \| License: `7215` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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CITY OF KOOSKIA (NPI #1114142833)