Organization
CASCADE RURAL FIRE PROTECTION DISTRICT
Active
Other names
Cascade Rural Fire & EMS
Organization subpart
No
Provider details
NPI number
Authorized official
L KATHLEEN CAMMACK (BILLLING AGENT)
(208) 337-4254
Entity
Organization
Contact information
Practice address
109 E PINE, CASCADE, ID 83611
(208) 630-3837
Mailing address
PO BOX 825, CASCADE, ID 83611-0825
(208) 382-3200
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
#7410
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010014874
BLUE SHIELD
ID
05
—
0025768
—
ID
01
—
244075
DMAP
OR
01
—
4731133
MEDICAL
ID
01
—
590014894
RAILROAD MEDICARE
ID
01
—
E7414
BLUE CROSS
ID
Enumeration date
09/08/2006
Last updated
12/07/2009
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