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Douglas Pearson
Non-emergency Medical Transport (VAN) in Moore, Idaho
NPI 1750827549

Douglas Pearson is a Non-emergency Medical Transport (VAN) based in Moore, ID. Douglas Pearson practices in Moore, ID. The NPI Number for Douglas Pearson is 1750827549 and holds a License No. NS102890G (Idaho).

The current practice location address for Douglas Pearson is 3551 W Antelope Rd, Moore, ID and can be reached out via phone at 208-680-5339.

Location: 3551 W Antelope Rd, Moore, ID, 83255-8754
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1750827549
Provider Name
Douglas Pearson
Credential
Provider Entity Type
Individual
Gender
Male
Address
3551 W Antelope Rd, Moore, ID, 83255-8754
Phone Number
208-680-5339
Fax Number
Provider Enumeration Date
01/17/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
06142016715702 05 ID
institution
Provider Business Practice Location Address Details
Address
3551 W Antelope Rd
City
Moore
State
Idaho
Zip
83255-8754
Phone Number
208-680-5339
Fax Number
person
Provider Business Mailing Address Details
Address
3551 W Antelope Rd
City
Moore
State
Idaho
Zip
83255-8754
Phone Number
208-680-5339
Fax Number
person
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Secured Medical Transport (VAN)
Speciality
-
Taxonomy
343800000X
License No.
NS102890G (Idaho)
Definition
A public or privately owned transportation service with vehicles, specially equipped to provide enhanced safety, security and passenger restraint, and staffed by one or more individuals trained to work with patients in crisis situations resulting from mental or emotional illness and/or substance abuse.
person
Provider's Taxonomy Details 2
Type
Transportation Services
Classification
Non-emergency Medical Transport (VAN)
Speciality
-
Taxonomy
343900000X
License No.
NS102890G (Idaho)
Definition
A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations.
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