Blaine County

NPI 1083614036 - Ambulance - 3416L0300X

NPI Details
NPI 1083614036
Enumeration Date 07/29/2005
Last Updated 05/21/2010
Entity Type Healthcare Provider
Active Over 12 years ago
Authorized Information
Name GREG GREG
Position FIRE CHIEF
Phone (208) 788-5505
Fax
Practice Location
480 E AVENUE N
KETCHUM ID, 83340, US
Phone (208) 788-5505
Fax
Business Location
206 S 1ST AVE
SUITE 200
HAILEY ID, 83333-8429, US
Phone
Fax
Toxanomy
Taxonomy Code 3416L0300X
License State
License Number
Remove 1083614036 NPI Number
 

According to our database, Blaine County NPI is 1083614036, taxonomy code is 3416L0300X Blaine County physically located at 480 E Avenue N, Ketchum ID, 83340. NPI Number 1033115704 has the healthcare provider type.

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1083614036 NPI number is provided on an as is basis without warranty of any kind. 1083614036 is maintained by the National Plan & Provider Enumeration System. The contents of Blaine County are for informational purposes only.