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Potlatch Rural Fire Dist
Land Ambulance in Potlatch, Idaho
NPI 1053504829

Potlatch Rural Fire Dist is a Land Ambulance based in Potlatch, ID and is specialized in Land Transport. Potlatch Rural Fire Dist practices in Potlatch, ID. The NPI Number for Potlatch Rural Fire Dist is 1053504829 and holds a License No. 7206 (Idaho).

The current practice location address for Potlatch Rural Fire Dist is 512 Pine Street, Potlatch, ID and can be reached out via phone at 208-875-0139.

Location: 512 Pine Street, Potlatch, ID, 83855-0063
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1053504829
Provider Name
Potlatch Rural Fire Dist
Credential
Provider Entity Type
Organization
Address
512 Pine Street, Potlatch, ID, 83855-0063
Phone Number
208-875-0139
Fax Number
Provider Enumeration Date
08/24/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
15003721 01 ID MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
512 Pine Street
City
Potlatch
State
Idaho
Zip
83855
Phone Number
208-875-0139
Fax Number
person
Provider Business Mailing Address Details
Address
512 Pine Street
City
Potlatch
State
Idaho
Zip
83855
Phone Number
208-875-0139
Fax Number
person
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Ambulance
Speciality
Land Transport
Taxonomy
3416L0300X
License No.
7206 (Idaho)
Definition
Definition to come...
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