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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
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