NPI 1730281064

Clearwater County

Organisation Land Ambulance Orofino, ID

Practice location

Address: 1195 Riverside Avenue, Orofino, ID 83544
Phone: (208) 476-3771
Fax: (208) 476-3155
Mailing address: PO Box 1347, Orofino, ID 83544-1347

Authorised official

Name: Les Eaves
Title: Director
Phone: (208) 476-3771

Registered specialties

Land Ambulance Primary

Transportation Services Taxonomy 3416L0300X Licence 7219 (ID)

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Registry record

NPI: 1730281064
Entity type: Organization
NPI issued: 5 Sep 2006
Record last updated: 18 Apr 2014

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.