Organization
COUNTY OF BENEWAH
Active
Other names
Benewah County EMS District
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KRISTIN L COMPTON (UNIT DIRECTOR)
(208) 245-5304
Entity
Organization
Contact information
Practice address
220 S 9TH ST, ST MARIES, ID 83861-1704
(208) 245-5304
(208) 245-5305
Mailing address
220 S 9TH ST, ST MARIES, ID 83861-1704
(208) 245-5304
(208) 245-5305
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
7113
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010014388
REGENCE BLUE SHIELD
ID
05
—
002807000
—
ID
01
—
826000256 83861 0000
TRICARE INSURANCE
ID
01
—
E-0138
BLUE CROSS
ID
Enumeration date
10/11/2006
Last updated
08/10/2022
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