Organization
COUNTY OF MADISON
Active
Other names
MADISON COUNTY AMBULANCE
Organization subpart
No
Provider details
NPI number
Authorized official
COREY CHILD (FIRE CHIEF)
(208) 359-3010
Entity
Organization
Contact information
Practice address
134 E MAIN ST, REXBURG, ID 83440-1922
(208) 359-3010
(208) 359-3003
Mailing address
PO BOX 3510, SILVERDALE, WA 98383-3510
(800) 585-5242
(360) 394-7099
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
7708
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002943800
—
ID
Enumeration date
11/02/2006
Last updated
04/28/2016
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