Organization
PALISADES BONNEVILLE COUNTY RESCUE
Active
Other names
Swan Valley Ambulance
Organization subpart
No
Provider details
NPI number
Authorized official
CONNIE JACOBSON (PRESIDENT)
(208) 520-7242
Entity
Organization
Contact information
Practice address
HWY 31 # 15, SWAN VALLEY, ID 83449
(208) 520-7242
Mailing address
PO BOX 52261, IDAHO FALLS, ID 83405-2261
(208) 523-4906
(208) 523-2025
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
5710
ID
Other
Enumeration date
08/30/2007
Last updated
08/30/2007
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