NPI 1114142833

City of Kooskia

Organisation Ambulance Kooskia, ID

Practice location

Address: 001 4th Ave, Kooskia, ID 83539
Phone: (208) 926-0172
Mailing address: PO Box 339, Kooskia, ID 83539-0339

Authorised official

Name: Wendy Diane Engbrecht
Title: Secretary/Treasurer
Phone: (208) 926-4858

Registered specialties

Ambulance Primary

Transportation Services Taxonomy 341600000X Licence 7215 (ID)

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Registry record

NPI: 1114142833
Entity type: Organization
NPI issued: 16 Apr 2007
Record last updated: 11 Dec 2015

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.