Potlatch Rural Fire Dist

NPI #1053504829 in Potlatch, Idaho

Provider Information

NPI Number: 1053504829
Entity Type: Organization
Organization Name: Potlatch Rural Fire Dist
Primary Specialty: Ambulance - Land Transport
Enumeration Date: Aug 24, 2007
Last Updated: Oct 20, 2009

Practice Location

Address: 512 PINE STREET
City: Potlatch
State: Idaho
ZIP Code: 83855
Phone: (208) 875-0139

Authorized Official

Name: VIVIAN L COY
Title: AMBULANCE COMMISSIONER
Phone: (208) 875-0139

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ambulance - Land Transport — Land Transport	3416L0300X	Primary

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