OrganizationActive
Idaho Medical Transport
NPI 1265682694 · Ambulance · Coeur D Alene, ID
Provider details
- NPI number
- 1265682694
- Entity type
- Organization
- Primary specialty
- AmbulanceTransportation Services
- Organization subpart
- No
- Authorized official
- Marshel Pruiett, Managing Member(208) 777-7719
Specialties & taxonomies
Transportation Services
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
1924 E Preakness Ave
Coeur D Alene, ID 83815-9428
Phone: (208) 777-7719
Street-level locationGet directions
Mailing address
1924 E Preakness Ave
Coeur D Alene, ID 83815-9428
Registry dates
- Enumerated
- 2008-09-23
- Last updated
- 2008-09-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.