Organization
IDAHO TRANSPORTATION COMPANY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VLADISLAV ARUTYUNOV (PRESIDENT)
(208) 206-5000
Entity
Organization
Contact information
Practice address
2055 GARRETT WAY, POCATELLO, ID 83201-5100
(208) 223-7720
Mailing address
3520 GREENWILLOW LN, IDAHO FALLS, ID 83401-2434
(208) 206-5000
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
ID
Other
Enumeration date
06/14/2016
Last updated
06/14/2016
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