NPI 1720073307 · live from the CMS NPI Registry
Worley Ambulance Association, INC.
Ambulance, Land Transport in Worley, ID. National Provider Identifier 1720073307, active.
NPI record
| NPI | 1720073307 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Ambulance, Land Transport 3416L0300X |
| Practice location | 9816 I Street, Worley, ID 83876 |
| Practice phone | 208-686-1883 |
| Mailing address | Po Box 69, Worley, ID 83876 |
| Enumerated | September 20, 2005 |
| Last updated | November 1, 2011 |
| Authorized official | Charlene Waddell, Business Manager |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulance, Land Transport primary | 3416L0300X | 7107 (ID) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.