Organization
HOMEDALE RURAL FIRE PROTECTION DISTRICT
Active
Other names
Homedale Ambulance Assoc
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA IRENE URANGA RYSKA (AMBULANCE ADMINISTRATOR)
(208) 337-3546
Entity
Organization
Contact information
Practice address
9 WEST COLORADO AVE, HOMEDALE, ID 83628
(208) 482-4662
Mailing address
6116 GRAYE LN, CALDWELL, ID 83607-8072
(208) 795-6930
(208) 795-6931
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
5302
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010014554
BLUE SHIELD
ID
05
—
002874400
—
ID
01
—
E0211
BLUE CROSS
ID
Enumeration date
10/18/2006
Last updated
08/22/2023
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