NPI 1174130074
Shoshone County Ambulance Service District
Practice location
- Address
- 58738 Silver Valley Road, Osburn, ID 83849
- Phone
- (208) 512-2660
- Mailing address
- PO Box 488, Osburn, ID 83849-0488
Authorised official
- Name
- Jerry John Brantz
- Title
- Secretary/Treasurer - Board Member
- Phone
- (208) 752-1101
Registered specialties
Ambulance
Primary
Registry record
- NPI
- 1174130074
- Entity type
- Organization
- NPI issued
- 25 Sep 2020
- Record last updated
- 25 Sep 2020
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.