NPI 1184785248

Clearwater County Dba Back Country Medics

Organisation Air Ambulance Orofino, ID

Practice location

Address: 1060 Airport Road Box 586, Orofino, ID 83544-0586
Phone: (208) 476-5615
Fax: (208) 476-9315
Mailing address: PO Box 586 150 Michigan Ave, Orofino, ID 83544-0586

Authorised official

Name: Nick R Albers
Title: Administrator
Phone: (208) 476-3057

Registered specialties

Air Ambulance Primary

Transportation Services Taxonomy 3416A0800X Licence 6228 (ID)

Other Ambulance providers in Idaho →

Registry record

NPI: 1184785248
Entity type: Organization
NPI issued: 13 Dec 2006
Record last updated: 23 Jul 2013

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.