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One provider matched this enrollment ID.

Enrollment ID O20210302000754 resolves to a single NPI record. Open the full profile for complete detail.

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CO
NPI · 1114925617 · Active
City Of Idaho Falls
Land Ambulance · Idaho Falls, Idaho
Active
NPI
1114925617
Enrollment ID
O20210302000754
Taxonomy
3416L0300X
Type
Part B Supplier - Mass Immunization (roster Biller Only)

Medicare enrollment

This provider holds 2 Medicare enrollments on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Part B Supplier

Source: CMS PECOS public enrollment file.

Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Other

  • 32466ID· Issued by DMBA
  • 421ID· Issued by STATE INSURANCE FUND
  • 8180029ID· Issued by UNITED HEALTHCARE
  • 197470UT· Issued by ALTIUS HEALTH PLANS
  • E0229ID· Issued by BLUE CROSS OF IDAHO
  • 000010034871ID· Issued by REGENCE BLUE SHIELD OF ID
  • DA0003AZ· Issued by HEALTH NET
  • 590157453GA· Issued by PALMETTO, GBA
  • 826000280ID· Issued by TRICARE - WBS
  • 274655001ID· Issued by EMPLOYER'S MUTUAL
  • 60054KY· Issued by AETNA

Source: NPPES public registry.

ReferenceAbout Medicare Enrollment IDs

A Medicare Enrollment ID (ENRLMT_ID) is a 15-character public identifier assigned by the CMS Provider Enrollment, Chain and Ownership System (PECOS) when a provider, supplier, or organisation enrols in Medicare. Each row reflects one enrolment record: a single NPI can hold multiple enrolments across provider types, states, or supplier categories. Data here is mirrored from the quarterly public PECOS enrolment file published on data.cms.gov.