Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mudlake Ambulance

Organization Land Ambulance · NPI 1699854141

Mudlake Ambulance is a Land Ambulance in Terreton, Idaho. Licensed in Idaho. Registered with an NPI since 2006.

Licensed in
ID
In the registry since
2006

Practice location Address checks out

1055 E 1100 N
Terreton, ID 83450
Phone: (208) 716-2369
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Land Ambulance (primary) Taxonomy 3416L0300X · Licence 7714 (ID)

Record details

NPI number1699854141
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Melissa Webster — Treasurer · (208) 716-2369
NPI enumeratedNovember 3, 2006
Last updated in NPPESJuly 10, 2007
Mailing addressPo Box 3362, Idaho Falls, ID 83403-3362