Organization
LOST RIVER EMT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT MOZES (PRESIDENT)
(208) 554-2013
Entity
Organization
Contact information
Practice address
201 N. IDAHO ST., ARCO, ID 83213-0503
(208) 527-3046
Mailing address
PO BOX 503, ARCO, ID 83213-0503
(208) 527-3046
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
7707
ID
Other
Enumeration date
08/03/2012
Last updated
08/03/2012
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