Organization
COUNTY OF ONEIDA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KARI D VOGT (OWNER)
(208) 345-1950
Entity
Organization
Contact information
Practice address
10 W COURT ST, MALAD CITY, ID 83252-1275
(208) 766-4383
Mailing address
PO BOX 44740, BOISE, ID 83711-0740
(208) 345-1950
(208) 429-6565
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
4610
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010014410
BLUE SHIELD
ID
05
—
002859400
—
ID
01
—
E0310
BLUE CROSS
ID
Enumeration date
06/18/2007
Last updated
01/05/2009
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