City of Kooskia

NPI #1114142833 in Kooskia, Idaho

Provider Information

NPI Number
1114142833
Entity Type
Organization
Organization Name
City of Kooskia
Primary Specialty
Ambulance
Enumeration Date
Apr 16, 2007
Last Updated
Dec 11, 2015

Practice Location

Address
001 4TH AVE
State
Idaho
ZIP Code
83539
Phone
(208) 926-0172

Authorized Official

Name
WENDY DIANE ENGBRECHT
Title
SECRETARY/TREASURER
Phone
(208) 926-4858

Specialties & Taxonomy Codes

Specialty
Ambulance

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