Organization
WESTSIDE FIRE DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL TUCKER (CHIEF)
(208) 265-9745
Entity
Organization
Contact information
Practice address
304 JACKSON ST, DOVER, ID 83825-0530
(208) 265-9745
Mailing address
PO BOX 530, DOVER, ID 83825-0530
(208) 265-9745
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
5150
ID
Other
Enumeration date
11/28/2006
Last updated
08/22/2020
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