SHOSHONE COUNTY AMBULANCE SERVICE DISTRICT; NPI #1174130074

Contact Information

SHOSHONE COUNTY AMBULANCE SERVICE DISTRICT

58738 SILVER VALLEY ROAD
OSBURN, ID 83849

Phone: 208-512-2660
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Ambulance	341600000X	59	Ambulance Service Provider

Indicates primary specialty

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NPI Profile & details for SHOSHONE COUNTY AMBULANCE SERVICE DISTRICT

NPI #	`1174130074`
LBN Legal business name	SHOSHONE COUNTY AMBULANCE SERVICE DISTRICT
Authorized official	JERRY BRANTZ - (SECRETARY/TREASURER - BOARD MEMBER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	09/25/2020
Last updated	09/25/2020 - About 6 years ago
Identifiers	n/a

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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