NPI 1063451722 · live from the CMS NPI Registry
Ambulance Service INC
Ambulance, Land Transport in Nez Perce, ID. National Provider Identifier 1063451722, active.
NPI record
| NPI | 1063451722 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Ambulance, Land Transport 3416L0300X |
| Practice location | 510 Oak St, Nez Perce, ID 83543 |
| Practice phone | 208-937-9909 |
| Mailing address | 1008 Burlington Ave Ste C, Po Box 1359, Missoula, MT 59806 |
| Enumerated | June 6, 2006 |
| Last updated | August 22, 2020 |
| Authorized official | John Ungaretti, General Manager |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulance, Land Transport primary | 3416L0300X | 7204 (ID) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.