NPI age
18 years
Enumerated 2007-06-18
Across 80 active ambulance providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 000010014961 | BLUE SHIELD |
| 05 (ID) | 804084900 | |
| 01 (ID) | E0930 | BLUE CROSS |
Single-site organization. Only one practice location on file.
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