OrganizationActive
Mudlake Ambulance
NPI 1699854141 · Land Ambulance · Terreton, ID
Provider details
- NPI number
- 1699854141
- Entity type
- Organization
- Primary specialty
- Land AmbulanceTransportation Services
- Organization subpart
- No
- Authorized official
- Melissa Webster, Treasurer(208) 716-2369
- License
- 7714 (ID)
Specialties & taxonomies
Transportation Services
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
1055 East 1100 North
Terreton, ID 83450
Phone: (208) 716-2369
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 3362
Idaho Falls, ID 83403-3362
Registry dates
- Enumerated
- 2006-11-03
- Last updated
- 2007-07-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.