Organization
SHOSHONE COUNTY AMBULANCE SERVICE DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JERRY JOHN BRANTZ (SECRETARY/TREASURER - BOARD MEMBER)
(208) 752-1101
Entity
Organization
Contact information
Practice address
58738 SILVER VALLEY ROAD, OSBURN, ID 83849
(208) 512-2660
Mailing address
PO BOX 488, OSBURN, ID 83849-0488
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
—
—
Other
Enumeration date
09/25/2020
Last updated
09/25/2020
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