Organization
CITY OF KOOSKIA
Active
Other names
Kooskia Ambulance
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY DIANE ENGBRECHT (SECRETARY/TREASURER)
(208) 926-4858
Entity
Organization
Contact information
Practice address
001 4TH AVE, KOOSKIA, ID 83539
(208) 926-0172
Mailing address
PO BOX 339, KOOSKIA, ID 83539-0339
(208) 926-4858
(208) 926-4858
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
7215
ID
Other
Enumeration date
04/16/2007
Last updated
12/11/2015
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