Organization
ADVANCED CARE NORTHWEST LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AMY NICOLE BALDWIN (MEMBER/ MANGER)
(208) 263-3225
Entity
Organization
Contact information
Practice address
1009 HIGHWAY 2, SUITE E, SANDPOINT, ID 83864-2712
(208) 263-3225
(208) 267-2003
Mailing address
PO BOX 1869, BONNERS FERRY, ID 83805-1869
(208) 263-3225
(208) 267-2003
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A0001748
—
ID
Enumeration date
01/08/2015
Last updated
01/08/2015
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