| NPI | 1962485946 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMI WILSON Administrative Assistant 208-234-6200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3416L0300X Ambulance, Land Transport (Licence: ID 8611) |
| Enumeration Date | 2005-11-23 |
| Last Update Date | 2020-08-22 |