NPI age
19 years
Enumerated 2007-03-07
Across 80 active ambulance providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 000010149121 | BLUE SHIELD PROV NUMBER |
| 01 | P00719362 | MEDICARE RR |
| 05 (ID) | 807075100 | |
| 01 (ID) | E1144 | BLUE CROSS PROV NUMBER |
Single-site organization. Only one practice location on file.
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