| NPI | 1720114275 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON K HARRIS Business Director 208-664-3313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207PE0004X Emergency Medicine, Emergency Medical Services |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2020-08-22 |