Organization
CITY OF RIGGINS
Active
Other names
City of Riggins Ambulance
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN HOLLENBEAK (DEPUTY CITY CLERK)
(208) 628-3394
Entity
Organization
Contact information
Practice address
126 N MAIN ST, RIGGINS, ID 83549
(208) 628-3394
(208) 628-3792
Mailing address
PO BOX 249, RIGGINS, ID 83549-0249
(208) 628-3394
(208) 628-3792
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
7213
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010014266
BLUE SHIELD
ID
05
—
002616500
—
ID
01
—
E0641
BLUE CROSS
ID
Enumeration date
08/14/2007
Last updated
12/13/2013
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