Organization
NORTH STAR PHOENIX INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH DURRETT (PRESIDENT)
(208) 816-8316
Entity
Organization
Contact information
Practice address
421 N STATE ST, GRANGEVILLE, ID 83530-1741
(208) 494-1905
Mailing address
421 N STATE ST, GRANGEVILLE, ID 83530-1741
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
10/24/2025
Last updated
10/24/2025
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