NPI 1114080363

Donnelly Rural Fire Protection District

Organisation Land Ambulance Donnelly, ID

Practice location

Address: 244 W Roseberry Rd, Donnelly, ID 83615-0382
Phone: (208) 325-8619
Fax: (208) 325-5081
Mailing address: PO Box 1178, Donnelly, ID 83615-1100

Authorised official

Name: Melonie a Skiftun
Title: Secretary
Phone: (208) 325-8619

Registered specialties

Land Ambulance Primary

Transportation Services Taxonomy 3416L0300X Licence 7423 (ID)

Other Ambulance providers in Idaho →

Registry record

NPI: 1114080363
Entity type: Organization
NPI issued: 19 Dec 2006
Record last updated: 25 May 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.