NPI age
19 years
Enumerated 2006-12-27
Across 33 active ambulance providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 002807600 | |
| 01 | 295878726 | TRICARE |
| 01 | 239843900 | OWC WORKERS COMP |
| 01 | 000010014380 | BLUE SHIELD |
| 01 | E0732 | BLUE CROSS |
Single-site organization. Only one practice location on file.
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