| NPI | 1114926151 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREG D OWEN Director 208-795-6920 |
| Organization Subpart ? | No |
| Primary Taxonomy | 341600000X Ambulance (Licence: ID 7479) |
| Additional Taxonomies | 3416L0300X Ambulance Land Transport (Licence: ID 8301) |
| Enumeration Date | 2005-07-20 |
| Last Update Date | 2012-12-18 |