NPI 1487764551 · live from the CMS NPI Registry
Custer County
Ambulance, Land Transport in Mackay, ID. National Provider Identifier 1487764551, active.
NPI record
| NPI | 1487764551 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Ambulance, Land Transport 3416L0300X |
| Practice location | 202 Mccaleb Street, Mackay, ID 83251 |
| Practice phone | 208-588-2603 |
| Mailing address | Po Box 385, Challis, ID 83226 |
| Enumerated | August 30, 2006 |
| Last updated | June 13, 2023 |
| Authorized official | Wayne Butts, Chairman Of The Board Of Custer Cou |
| Other names | South Custer Ambulance |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulance, Land Transport primary | 3416L0300X | 7712 (ID) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.