Organization Name: | CANYON COUNTY AMBULANCE DISTRICT |
NPI Number: | 1114926151 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GREG D OWEN (DIRECTOR) |
Mailing Address: | 6116 Graye Lane Caldwell |
State: | ID US |
Postal Code: | 836078072 |
Phone Number: | 2087956920 |
Fax Number: | 2087956921 |
NPI Enumeration Date: | 07/20/2005 |
NPI Last Update Date: | 12/18/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3416L0300X |
License Number: | 8301 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | ID |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Ambulance |
Taxonomy Specialization: | Land Transport |
Taxonomy Definition: |