NPI 1235323452 · live from the CMS NPI Registry
Palisades Bonneville County Rescue
Ambulance, Land Transport in Swan Valley, ID. National Provider Identifier 1235323452, active.
NPI record
| NPI | 1235323452 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Ambulance, Land Transport 3416L0300X |
| Practice location | Hwy 31 # 15, Swan Valley, ID 83449 |
| Practice phone | 208-520-7242 |
| Mailing address | Po Box 52261, Idaho Falls, ID 83405 |
| Enumerated | August 30, 2007 |
| Last updated | August 30, 2007 |
| Authorized official | Connie Jacobson, President |
| Other names | Swan Valley Ambulance |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulance, Land Transport primary | 3416L0300X | 5710 (ID) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.