Organization
FIRE DISTRICT 2
Active
Other names
Swan Valley Ambulance
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DEAN PHILBRICK (DIRECTOR)
(208) 520-7242
Entity
Organization
Contact information
Practice address
HIGHWAY 31, #15, SWAN VALLEY, ID 83449
(208) 520-7242
Mailing address
PO BOX 52261, IDAHO FALLS, ID 83405-2261
(208) 520-7242
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
5710
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5710
EMS LICENSE
ID
Enumeration date
04/16/2007
Last updated
08/22/2020
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