MIDVALE FIRE PROTECTION DISTRICT NPI 1700051471

NPI Information

NPI: 1700051471
Provider Name: MIDVALE FIRE PROTECTION DISTRICT

Other Name: MIDVALE AMBULANCE

Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

Address:
10 S RIVER STREET
MIDVALE, ID
ZIP 83645
Phone: (208) 550-1605
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MIDVALE FIRE PROTECTION DISTRICT is a land transport ambulance in Midvale, ID. MIDVALE FIRE PROTECTION DISTRICT NPI is 1700051471. The provider is registered as an organization entity type.
The provider Other Name Is Midvale Ambulance.

The provider's business location address is:

10 S RIVER STREET
MIDVALE, ID
ZIP 83645
Phone: (208) 550-1605

The provider's authorized official is Brian Graham .
The authorized official title is Ems Supervisor and has the following contact phone number (208) 550-1605.

The enumeration date for this NPI number is 4/24/2008 and was last updated on 4/24/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	3416L0300X	Ambulance	Land Transport	5317	IDAHO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0024624	MEDICAID	IDAHO
2	000010014799	OTHER	IDAHO	BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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