NPI 1265682694

Idaho Medical Transport

Organisation Ambulance Coeur D Alene, ID

Practice location

Address: 1924 E Preakness Ave, Coeur D Alene, ID 83815-9428
Phone: (208) 777-7719

Authorised official

Name: Marshel Byron Pruiett
Title: Managing Member
Phone: (208) 777-7719

Registered specialties

Ambulance Primary

Transportation Services Taxonomy 341600000X

Other Ambulance providers in Idaho →

Registry record

NPI: 1265682694
Entity type: Organization
NPI issued: 23 Sep 2008
Record last updated: 23 Sep 2008

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.