Organization
COMMUNITY AMBULANCE SERVICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT DUANE LARSEN (PRESIDENT)
(208) 786-5434
Entity
Organization
Contact information
Practice address
124 W BROWN, KELLOGG, ID 83837
(208) 786-5434
(208) 786-5434
Mailing address
PO BOX 269, 124 W BROWN, KELLOGG, ID 83837
(208) 786-5434
(208) 786-5434
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
—
—
Other
Enumeration date
02/06/2007
Last updated
08/22/2020
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