Organization
BLAINE COUNTY
Active
Other names
Blaine County Ambulance District
Organization subpart
No
Provider details
NPI number
Authorized official
JOLYNN DRAGE (CLERK, AUDITOR AND RECORDER)
(208) 788-5505
Entity
Organization
Contact information
Practice address
480 E AVENUE N, KETCHUM, ID 83340
(208) 788-5505
Mailing address
206 S 1ST AVE, SUITE 200, HAILEY, ID 83333-8429
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
590014405
RRB
ID
05
—
805848400
—
ID
05
—
805848500
—
ID
Enumeration date
07/29/2005
Last updated
12/17/2019
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