# POCATELLO LIMOUSINE LLP

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

## Provider details

- **NPI number:** 1245742097
- **Authorized official:** CHAD A DAVIES (OWNER)
- **Authorized official phone:** (208) 589-3937

## Contact information

- **Practice address:** 717 W ELDREDGE RD, POCATELLO, ID 83201-5620
- **Practice address phone:** (208) 480-1250
- **Mailing address:** 717 W ELDREDGE RD, POCATELLO, ID 83201-5620
- **Mailing address phone:** (208) 480-1250

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 343800000X | Secured Medical Transport (VAN) | — | ID | — |
| 343900000X | Non-emergency Medical Transport (VAN) | — | ID | — |
| 347B00000X | Bus | — | ID | — |
| 347C00000X | Private Vehicle | — | ID | Yes |

## Other

- **Enumeration date:** 11/02/2017
- **Last updated:** 11/02/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1922463751 | — | CA |