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Contact Information

IDAHO MEDICAL TRANSPORT
1924 E PREAKNESS AVE
COEUR D'ALENE, ID83815-9428
 Phone: 208-777-7719
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ambulance

341600000X 59 Ambulance Service Provider
Indicates primary specialty

NPI Profile & details for IDAHO MEDICAL TRANSPORT

NPI # 1265682694
LBN Legal business name IDAHO MEDICAL TRANSPORT
Authorized official MARSHEL PRUIETT - (MANAGING MEMBER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/23/2008
Last updated 09/23/2008 - About 18 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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