| NPI | 1689778391 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACOB MAC QUALLS EMS Chief 208-469-0005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3416L0300X Ambulance, Land Transport (Licence: ID #5313) |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2013-01-18 |