| NPI | 1346631058 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CODY DEAN KILLMAR Admin Assistant 208-983-9263 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3416L0300X Ambulance, Land Transport (Licence: ID 5313) |
| Enumeration Date | 2015-02-17 |
| Last Update Date | 2025-08-23 |