WEISER AMBULANCE DISTRICT; NPI #1255425286

Contact Information

WEISER AMBULANCE DISTRICT

435 E. PARK ST.
WEISER, ID 83672-2265

Phone: 208-414-4257
Fax: 208-414-2351
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 WEISER AMBULANCE DISTRICT

NPI Number 1255425286

LBN Legal business name WEISER AMBULANCE DISTRICT

Authorized official GREG OWEN - (DIRECTOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 10/03/2006

Last updated 10/26/2009 - About 17 years ago

Identifiers

ID	License #	8304
ID	Medicaid	002810100
ID	Other	E0385	BLUE CROSS

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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