Organization
LIFESTAR RURAL EMS SOLUTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM IRVING PAINE NRP (DIRECTOR)
(208) 781-1862
Entity
Organization
Contact information
Practice address
3 PUMP HOUSE RD, GARDEN VALLEY, ID 83622-5059
(208) 781-1862
Mailing address
PO BOX 758, GARDEN VALLEY, ID 83622-0758
(208) 781-1862
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Enumeration date
09/30/2021
Last updated
09/30/2021
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