NPI 1083614036 · live from the CMS NPI Registry
Blaine County
Ambulance, Land Transport in Ketchum, ID. National Provider Identifier 1083614036, active.
NPI record
| NPI | 1083614036 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Ambulance, Land Transport 3416L0300X |
| Practice location | 480 E Avenue N, Ketchum, ID 83340 |
| Practice phone | 208-788-5505 |
| Mailing address | 206 S 1st Ave, Suite 200, Hailey, ID 83333 |
| Enumerated | July 29, 2005 |
| Last updated | December 17, 2019 |
| Authorized official | Jolynn Drage, Clerk, Auditor And Recorder |
| Other names | Blaine County Ambulance District |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulance, Land Transport primary | 3416L0300X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.