| Organization Name: | WORLEY AMBULANCE ASSOCIATION, INC. |
| NPI Number: | 1720073307 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CHARLENE E. WADDELL (BUSINESS MANAGER) |
| Mailing Address: | 9816 I Street Worley |
| State: | ID US |
| Postal Code: | 83876 |
| Phone Number: | 2086861883 |
| Fax Number: | 2086863604 |
| NPI Enumeration Date: | 09/20/2005 |
| NPI Last Update Date: | 11/01/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | 7107 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ID |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |