NPI age
19 years
Enumerated 2006-12-13
Across 33 active ambulance providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (WY) | 109956600 | MEDICAID |
| 01 | 000010014272 | BLUE SHIELD OF IDAHO |
| 05 (ID) | 002807400 | |
| 01 | E0062 | BLUE CROSS OF IDAHO |
Doing-business-as, former, and alternate names recorded by NPPES.
Single-site organization. Only one practice location on file.
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