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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