CLEARWATER COUNTY DBA BACK COUNTRY MEDICS; NPI #1184785248

Contact Information

CLEARWATER COUNTY DBA BACK COUNTRY MEDICS

1060 AIRPORT ROAD
BOX 586
OROFINO, ID 83544-0586

Phone: 208-476-5615
Fax: 208-476-9315
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Air Transport	3416A0800X	59	Ambulance Service Provider

Indicates primary specialty

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NPI Profile & details for CLEARWATER COUNTY DBA BACK COUNTRY MEDICS

NPI # 1184785248

LBN Legal business name CLEARWATER COUNTY DBA BACK COUNTRY MEDICS

Authorized official NICK ALBERS - (ADMINISTRATOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 12/13/2006

Last updated 07/23/2013 - About 13 years ago

Identifiers

ID	License #	6228
ID	Medicaid	808479400
WA	Medicaid	9062621

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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