Organization
COUNTY OF ELMORE
Active
Other names
Elmore County Ambulance District, Pine Featherville EMS, Elmore County Ambulance, Elmore County Ambulance District
Organization subpart
No
Provider details
NPI number
Authorized official
ALYSIA ANN ALKIRE CAC (BILLING SPECIALIST)
(208) 580-0413
Entity
Organization
Contact information
Practice address
150 S 4TH E STE 3, MOUNTAIN HOME, ID 83647-3000
(208) 587-2133
(208) 587-2159
Mailing address
150 S 4TH E STE 3, MOUNTAIN HOME, ID 83647-3000
(208) 587-2129
(208) 587-2159
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10020
AGENCY LICENSE
ID
05
—
7511
—
ID
Enumeration date
09/08/2017
Last updated
10/12/2022
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