# CITY OF KOOSKIA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Kooskia Ambulance
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114142833
- **Authorized official:** WENDY DIANE ENGBRECHT (SECRETARY/TREASURER)
- **Authorized official phone:** (208) 926-4858

## Contact information

- **Practice address:** 001 4TH AVE, KOOSKIA, ID 83539
- **Practice address phone:** (208) 926-0172
- **Mailing address:** PO BOX 339, KOOSKIA, ID 83539-0339
- **Mailing address phone:** (208) 926-4858
- **Mailing address fax:** (208) 926-4858

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | 7215 | ID | Yes |

## Other

- **Enumeration date:** 04/16/2007
- **Last updated:** 12/11/2015