NPI age
20 years
Enumerated 2005-08-03
● Active Type 2 · Organization
Clark Fork Valley Ambulance Service, Inc.
Clark Fork Valley Ambulance Service, Inc. is 1 of 80 ambulance organizations in Idaho.
Primary specialty
Ambulance
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Miller
Director & Accts Rec'Ble Officer
Last NPPES update
2017-02-28
Source: monthly bulk 2026-05
How this organization compares
Across 80 active ambulance providers in Idaho.
NPI age
20 years
≈ at median (19 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2005 → 2026
2005-08Enumerated in NPPES
2005
2026
Where they practice
Primary practice location
111 East 2nd
Clark Fork, ID 838110464
Mailing address
Po Box 464
Clark Fork, ID 838110464
Authorized official
Dee Miller
Director & Accts Rec'Ble Officer
📞 2086103164
Specialties
-
Ambulance PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 1504745 | PTAN |
| 05 (ID) | 002459300 |
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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