OrganizationActive
Minidoka Memorial Hospital Ambulance
NPI 1225202922 · Land Ambulance · Rupert, ID
Provider details
- NPI number
- 1225202922
- Entity type
- Organization
- Primary specialty
- Land AmbulanceTransportation Services
- Parent organization
- Minidoka Memorial Hospital
- Organization subpart
- Yes
- Authorized official
- Carl Hansen, Administrator(208) 436-0481
Specialties & taxonomies
Transportation Services
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1224 8th St
Rupert, ID 83350-1527
Phone: (208) 436-0481
Fax: (208) 434-8675
Street-level locationGet directions
Mailing address
1224 8th St
Rupert, ID 83350-1527
Registry dates
- Enumerated
- 2008-04-15
- Last updated
- 2011-06-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.