Organization
LINCOLN COUNTY EMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TODD JAYNES (DIRECTOR)
(208) 886-2452
Entity
Organization
Contact information
Practice address
111 W B ST STE C, SHOSHONE, ID 83352-5364
(208) 886-2452
Mailing address
111 W B ST STE C, SHOSHONE, ID 83352-5364
(208) 886-2452
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
7509
ID
Other
Enumeration date
08/27/2007
Last updated
08/27/2007
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