Organization
CITY OF TROY
Active
Organization
CITY OF TROY
Active
Other names
TROY VOLUNTEER AMBULANCE
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA OPESIK (DIRECTOR)
(208) 596-6384
Entity
Organization
Contact information
Practice address
521 EAGLE ALLEY, TROY, ID 83871
(208) 596-6384
Mailing address
PO BOX 324, TROY, ID 83871
(208) 596-6384
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
12345
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12345
STATE LICENSE
ID
Enumeration date
10/13/2011
Last updated
10/13/2011
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