Organization
WEISER AMBULANCE DISTRICT
Active
Other names
County Of Washington
Organization subpart
No
Provider details
NPI number
Authorized official
GREG D. OWEN (DIRECTOR)
(208) 466-8800
Entity
Organization
Contact information
Practice address
435 E. PARK ST., WEISER, ID 83672-2265
(208) 414-4257
(208) 414-2351
Mailing address
P.O. BOX 670, 256 E COURT ST., WEISER, ID 83672-0670
(208) 414-1636
(208) 414-4255
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
8304
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002810100
—
ID
01
—
E0385
BLUE CROSS
ID
Enumeration date
10/03/2006
Last updated
10/26/2009
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