Organization
CLEARWATER COUNTY DBA BACK COUNTRY MEDICS
Active
Other names
Back Country Medics
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NICK R ALBERS (ADMINISTRATOR)
(208) 476-3057
Entity
Organization
Contact information
Practice address
1060 AIRPORT ROAD, BOX 586, OROFINO, ID 83544-0586
(208) 476-5615
(208) 476-9315
Mailing address
PO BOX 586, 150 MICHIGAN AVE, OROFINO, ID 83544-0586
(208) 476-5615
(208) 476-9315
Taxonomy
Speciality
Code
Description
License number
State
3416A0800X
Air Ambulance
Primary
6228
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
808479400
—
ID
05
—
9062621
—
WA
Enumeration date
12/13/2006
Last updated
07/23/2013
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