Organization
COUNTY OF FREMONT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT FOSTER (TREASURER)
(208) 624-7557
Entity
Organization
Contact information
Practice address
125 N BRIDGE ST, SAINT ANTHONY, ID 83445-5004
(208) 624-7557
Mailing address
PO BOX 3510, SILVERDALE, WA 98383-3510
(360) 394-7010
(360) 394-7099
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
7704
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002808800
—
ID
Enumeration date
11/03/2006
Last updated
07/01/2016
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