Organization
SHOSHONE COUNTY EMS CORPORATION
Active
Other names
Shoshone County EMS
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM A HOLSTEIN JR. PARAMEDIC (CHIEF OFFICER)
(208) 446-4822
Entity
Organization
Contact information
Practice address
204 OREGON ST, SUITE Q, KELLOGG, ID 83837-5018
(208) 446-4822
Mailing address
PO BOX 3510, SILVERDALE, WA 98383-3510
(360) 394-7010
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
7807
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1548520042
—
ID
Enumeration date
05/18/2012
Last updated
01/05/2015
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