Organization
CITY OF LEWISTON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL J MARSH (ADMINISTRATIVE SERVICES DIRECTOR)
(208) 746-3671
Entity
Organization
Contact information
Practice address
1134 F ST, LEWISTON, ID 83501-1930
(208) 746-3671
(208) 746-1907
Mailing address
PO BOX 617, LEWISTON, ID 83501-0617
(208) 746-3671
(208) 746-1907
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
40M01
WA
3416L0300X
Land Ambulance
Primary
8210
ID
Other
Enumeration date
08/19/2005
Last updated
07/21/2022
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