Organization
CITY OF BLACKFOOT
Active
Organization
CITY OF BLACKFOOT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL M LOOMIS (MAYOR)
(208) 785-8600
Entity
Organization
Contact information
Practice address
225 N ASH ST, BLACKFOOT, ID 83221-2218
(208) 785-8605
Mailing address
PO BOX 50539, IDAHO FALLS, ID 83405-0539
(208) 552-8765
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
7603
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
805644600
—
ID
Enumeration date
07/06/2006
Last updated
10/24/2017
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