NPI 1629117429 · live from the CMS NPI Registry
Community Ambulance Service INC
Ambulance in Kellogg, ID. National Provider Identifier 1629117429, active.
NPI record
| NPI | 1629117429 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Ambulance 341600000X |
| Practice location | 124 W Brown, Kellogg, ID 83837 |
| Practice phone | 208-786-5434 |
| Mailing address | Po Box 269, 124 W Brown, Kellogg, ID 83837 |
| Enumerated | February 6, 2007 |
| Last updated | August 22, 2020 |
| Authorized official | Robert Larsen, President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulance primary | 341600000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.