BANNOCK COUNTY AMBULANCE DISTRICT NPI 1962485946

NPI Information

NPI: 1962485946
Provider Name: BANNOCK COUNTY AMBULANCE DISTRICT
Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

CLIA Number: 13D0700359

Address:
408 E WHITMAN ST
POCATELLO, ID
ZIP 83201
Phone: (208) 234-6200
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BANNOCK COUNTY AMBULANCE DISTRICT is a land transport ambulance in Pocatello, ID. BANNOCK COUNTY AMBULANCE DISTRICT NPI is 1962485946. The provider is registered as an organization entity type.

The provider's business location address is:

408 E WHITMAN ST
POCATELLO, ID
ZIP 83201-450
Phone: (208) 234-6200
Fax: (208) 233-4043

The provider's authorized official is Tami Wilson .
The authorized official title is Administrative Assistant and has the following contact phone number (208) 234-6200.

The CLIA number assigned to this NPI record is 13D0700359 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/23/2005 and was last updated on 8/22/2020.

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	8611	IDAHO	Yes

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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