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Organization

ELK CITY AMBULANCE SERVICE INC

Active
Other names
Elk City Ambulance, Elk City Ambulance Service
Organization subpart
No

Provider details

NPI number
Authorized official
AUBREE CHAFFEE (TREASURER)
(208) 660-6990
Entity
Organization

Contact information

Practice address
65 AMERICAN RIVER RD, ELK CITY, ID 83525-0206
(208) 842-2626
(208) 842-2626
Mailing address
PO BOX 206, ELK CITY, ID 83525-0206

Taxonomy

Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
5201
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000010014427
BLUE SHIELD
ID
01
590012801
RAILROAD MEDICARE
ID
05
8053487
ID
01
E0781
BLUE CROSS
ID
Enumeration date
09/11/2006
Last updated
06/16/2018
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