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AMBULANCE SERVICE, INC.

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Company Details

Name: AMBULANCE SERVICE, INC.
Jurisdiction: Idaho
Legal type: Non-Profit Corporation (D)
Status: Active-Good Standing
Date of registration: 06 Jun 1983 (42 years ago)
Financial Date End: 30 Jun 2026
Entity Number: 229577
Place of Formation: IDAHO
File Number: 229577
ZIP code: 83543
County: Lewis County
Mailing Address: PO BOX 164 NEZPERCE, ID 83543-0164

President

Name Role Address Appointed On
Darrell Berry President 506 OAK STREET, NEZPERCE, ID 83543 2020-06-30

Secretary

Name Role Address Appointed On Resigned On
PATRICIA D BARNETT Secretary 1915 BIRCH CT, LEWISTON, ID 83501 2024-05-18 2024-05-18

Director

Name Role Address Appointed On Resigned On
KATHY FUCHS Director 1952 OFFSET ROAD, NEZPERCE, ID 83543 2024-05-18 2024-05-18
Shari Kuther Director 1690 JOHNSON RD, NEZPERCE, ID 83543 2024-05-18 No data

Vice President

Name Role Address Appointed On Resigned On
Kurtis Bradley Vice President PO BOX 254, NEZPERCE, ID 83543 2024-05-18 2024-05-18

Agent

Name Role Address
PATRICIA D BARNETT Agent 1915 BIRCH CT, LEWISTON, ID 83501

Unique Entity ID

Unique Entity ID:
J7FCBLQTSJT9
CAGE Code:
7RTD4
UEI Expiration Date:
2025-10-24

Business Information

Division Name:
AMBULANCE SERVICE INC
Division Number:
1
Activation Date:
2024-10-28
Initial Registration Date:
2016-12-05

Commercial and government entity program

CAGE number:
7RTD4
Status:
Obsolete
Type:
Non-Manufacturer
CAGE Update Date:
2024-10-28
SAM Expiration:
2025-10-24

Contact Information

POC:
PATTY D. BARNETT

National Provider Identifier

NPI Number:
1063451722

Authorized Person:

Name:
JOHN R UNGARETTI
Role:
GENERAL MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
3416L0300X - Land Ambulance
Is Primary:
Yes

Contacts:

Fax:
4065422785
Fax:
2089379787

Filing

Filing Name Filing Number Filing date
Annual Report 0006243751 2025-05-07
Annual Report 0005741940 2024-05-18
Annual Report 0005240643 2023-05-12
Statement of Change of Business Mailing Address 0004963258 2022-10-27
Annual Report 0004781561 2022-06-12

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Date of last update: 17 Jul 2025

Sources: Idaho Secretary of State