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NPI 1700051471 · live from the CMS NPI Registry

Midvale Fire Protection District

Ambulance, Land Transport in Midvale, ID. National Provider Identifier 1700051471, active.

NPI record

NPI1700051471 Type 2 · organization
StatusActive
Primary specialtyAmbulance, Land Transport 3416L0300X
Practice location10 S River Street, Midvale, ID 83645
Practice phone208-550-1605
Mailing addressPo Box 131, Midvale, ID 83645
EnumeratedApril 24, 2008
Last updatedApril 24, 2008
Authorized officialBrian Graham, Ems Supervisor
Other namesMidvale Ambulance

Taxonomies and licenses

TaxonomyCodeLicense
Ambulance, Land Transport primary3416L0300X5317 (ID)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.