Organization
CITY OF IDAHO FALLS
Active
Other names
City of Idaho Falls Ambulance Service
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC DAY (FIRE CHIEF)
(208) 612-8173
Entity
Organization
Contact information
Practice address
343 E ST, IDAHO FALLS, ID 83402
(208) 612-8452
Mailing address
PO BOX 269110, SACRAMENTO, CA 95826-9110
(916) 669-4613
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
8705
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010034871
REGENCE BLUE SHIELD OF ID
ID
05
—
002806100
—
ID
05
—
0441688
—
MT
01
—
197470
ALTIUS HEALTH PLANS
UT
05
—
213131
—
OR
01
—
274655001
EMPLOYER'S MUTUAL
ID
01
—
32466
DMBA
ID
01
—
421
STATE INSURANCE FUND
ID
01
—
590157453
PALMETTO, GBA
GA
01
—
60054
AETNA
KY
01
—
8180029
UNITED HEALTHCARE
ID
01
—
826000280
TRICARE - WBS
ID
01
—
DA0003
HEALTH NET
AZ
01
—
E0229
BLUE CROSS OF IDAHO
ID
Enumeration date
07/08/2005
Last updated
12/17/2019
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