# COUNTY OF BENEWAH

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Benewah County EMS District
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336238211
- **Authorized official:** MRS. KRISTIN L COMPTON (UNIT DIRECTOR)
- **Authorized official phone:** (208) 245-5304

## Contact information

- **Practice address:** 220 S 9TH ST, ST MARIES, ID 83861-1704
- **Practice address phone:** (208) 245-5304
- **Practice address fax:** (208) 245-5305
- **Mailing address:** 220 S 9TH ST, ST MARIES, ID 83861-1704
- **Mailing address phone:** (208) 245-5304
- **Mailing address fax:** (208) 245-5305

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | 7113 | ID | Yes |

## Other

- **Enumeration date:** 10/11/2006
- **Last updated:** 08/10/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000010014388 | REGENCE BLUE SHIELD | ID |
| 05 | — | 002807000 | — | ID |
| 01 | — | 826000256 83861 0000 | TRICARE INSURANCE | ID |
| 01 | — | E-0138 | BLUE CROSS | ID |