# LEADORE EMERGENCY MEDICAL TECHNICIANS, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205925435
- **Authorized official:** MR. RICHARD SNYDER (PRESIDENT)
- **Authorized official phone:** (208) 768-2714

## Contact information

- **Practice address:** 117 GALENA ST., LEADORE, ID 83464-0051
- **Practice address phone:** (208) 768-2426
- **Practice address fax:** (208) 768-2426
- **Mailing address:** PO BOX 51, LEADORE, ID 83464-0051
- **Mailing address phone:** (208) 768-2426
- **Mailing address fax:** (208) 768-2426

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | 5706 | ID | Yes |

## Other

- **Enumeration date:** 10/12/2006
- **Last updated:** 06/09/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000010033120 | REGENCE BLUE SHIELD | ID |
| 05 | — | 002494700 | — | ID |
| 05 | — | 0442323 | — | MT |
| 05 | — | 200070010A | — | OK |
| 01 | — | E0682 | BLUE CROSS OF IDAHO | ID |