Organization
SALMON RIVER CLINIC HOSPITAL DISTRICT
Active
Organization
SALMON RIVER CLINIC HOSPITAL DISTRICT
Active
Other names
Stanley Ambulance
Organization subpart
No
Provider details
NPI number
Authorized official
AMY MERCANTINI KLINGLER PA-C (ADMINISTRATOR)
(208) 774-3565
Entity
Organization
Contact information
Practice address
110 NIECE AVENUE, STANLEY, ID 83278-0129
(208) 774-3565
(208) 774-3424
Mailing address
PO BOX 129, STANLEY, ID 83278-0129
(208) 774-3565
(208) 774-3424
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
5510
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010006657
BS
ID
05
—
002504200
—
ID
01
—
E0815
BLUE CROSS
ID
Enumeration date
01/02/2007
Last updated
03/19/2026
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