Organization
COUNTY OF GOODING
Active
Organization
COUNTY OF GOODING
Active
Other names
Gooding County EMS
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DENISE GILL EMT-A (EMS DIRECTOR)
(208) 934-4841
Entity
Organization
Contact information
Practice address
145 7TH AVE E, GOODING, ID 83330-1660
(208) 934-4015
(208) 934-5260
Mailing address
PO BOX 417, GOODING, ID 83330-0417
(208) 934-4015
(208) 934-5260
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
7504
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010014306
BLUE SHIELD OF IDAHO
ID
05
—
002809000
—
ID
05
—
003288350
—
NV
01
—
32473
DESERET MUTUAL DENEFIT
UT
01
—
8200060000002
BC BS UTAH
UT
01
—
E0724
BLUE CROSS OF IDAHO
ID
01
—
GOODING
AARP
GA
Enumeration date
04/06/2007
Last updated
02/05/2010
Update your record
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