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Organization

NORTHWEST PARAMEDIC ASSOCIATES INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. KARL DEWITT VOGT (OWNER)
(208) 559-2427
Entity
Organization

Contact information

Practice address
10400 W OVERLAND RD, #105, BOISE, ID 83709-1433
(208) 559-2427
(855) 563-2427
Mailing address
10400 W OVERLAND RD, #105, BOISE, ID 83709-1433
(208) 559-2427
(855) 563-2427

Taxonomy

Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
8325
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000010014961
BLUE SHIELD
ID
05
804084900
ID
01
E0930
BLUE CROSS
ID
Enumeration date
06/18/2007
Last updated
04/19/2012
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