Organization
ALL-STAR TRANSPORTATION
Active
Other names
All-Star Transportation
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MAUNA RAE H CARLSON (OWNER)
(208) 521-2955
Entity
Organization
Contact information
Practice address
9422 N 85TH E, IDAHO FALLS, ID 83401-5565
(208) 557-4080
Mailing address
9422 N 85TH E, IDAHO FALLS, ID 83401-5565
(208) 557-4080
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
ID
Other
Enumeration date
07/01/2016
Last updated
07/01/2016
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