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Organization

CITY OF KAMIAH

Active
Other names
City of Kamiah Ambulance
Organization subpart
No

Provider details

NPI number
Authorized official
CODY DEAN KILLMAR (AMBULANCE AUDITOR)
(208) 628-3420
Entity
Organization

Contact information

Practice address
515 MAIN ST, KAMIAH, ID 83536-0338
(208) 935-2672
(208) 935-0697
Mailing address
PO BOX 3510, SILVERDALE, WA 98383-3510
(360) 394-7020
(360) 394-7099

Taxonomy

Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
#7202
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000010014334
BLUE SHIELD
ID
05
0028062
ID
01
590005822
RAILROAD MEDICARE
ID
01
9000704
WASHINGTON MEDICAID
ID
01
E010-4
BLUE CROSS
ID
Enumeration date
09/12/2006
Last updated
08/14/2025
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