NPI 1053504829 · live from the CMS NPI Registry
Potlatch Rural Fire Dist
Ambulance, Land Transport in Potlatch, ID. National Provider Identifier 1053504829, active.
NPI record
| NPI | 1053504829 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Ambulance, Land Transport 3416L0300X |
| Practice location | 512 Pine Street, Potlatch, ID 83855 |
| Practice phone | 208-875-0139 |
| Mailing address | Po Box 63, Potlatch, ID 83855 |
| Enumerated | August 24, 2007 |
| Last updated | October 20, 2009 |
| Authorized official | Vivian Coy, Ambulance Commissioner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulance, Land Transport primary | 3416L0300X | 7206 (ID) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.