NPI 1114142833 · live from the CMS NPI Registry
City Of Kooskia
Ambulance in Kooskia, ID. National Provider Identifier 1114142833, active.
NPI record
| NPI | 1114142833 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Ambulance 341600000X |
| Practice location | 001 4th Ave, Kooskia, ID 83539 |
| Practice phone | 208-926-0172 |
| Mailing address | Po Box 339, Kooskia, ID 83539 |
| Enumerated | April 16, 2007 |
| Last updated | December 11, 2015 |
| Authorized official | Wendy Engbrecht, Secretary/Treasurer |
| Other names | Kooskia Ambulance |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulance primary | 341600000X | 7215 (ID) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.