Organization
BENEWAH AREA TRANSIT - COMMERCIAL
Active
Parent organization
VALLEY VISTA CARE CORPORATION
Organization subpart
Yes
Provider details
NPI number
Legal business name
VALLEY VISTA CARE CORPORATION
Authorized official
KASEY BORGMAN (CORPORATE COMPLIANCE)
(208) 245-4576
Entity
Organization
Contact information
Practice address
820 ELM DR, ST MARIES, ID 83861-2119
(208) 245-4576
(208) 245-2138
Mailing address
820 ELM DR, ST MARIES, ID 83861-2119
(208) 245-4576
(208) 245-2138
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
M0026105
—
ID
Enumeration date
06/25/2010
Last updated
06/25/2010
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