Organization
TENSED AMBULANCE SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LEANN DAMAN (BUSINESS MANAGER)
(208) 274-3026
Entity
Organization
Contact information
Practice address
311 HWY 95, TENSED, ID 83870-0006
(208) 274-3026
(208) 274-3026
Mailing address
PO BOX 6, 311 HWY 95, TENSED, ID 83870-0006
(208) 274-3026
(208) 274-3026
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
5108
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010014323
REGENCE BS IDAHO #
ID
01
—
E0872
BLUE CROSS OF IDAHO #
ID
Enumeration date
01/29/2007
Last updated
08/22/2020
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