Lost River Area Transit - Agency

NPI #1154632800 in St Maries, Idaho

Provider Information

NPI Number
1154632800
Entity Type
Organization
Organization Name
Lost River Area Transit - Agency
Subpart
Yes (part of a larger organization)
Parent Organization
VALLEY VISTA CARE CORP
Primary Specialty
Non-emergency Medical Transport (VAN)
Enumeration Date
Jun 28, 2010
Last Updated
Jun 28, 2010

Practice Location

Address
820 ELM DR
State
Idaho
ZIP Code
83861-2119
Phone
(208) 245-4576

Authorized Official

Name
KASEY BORGMAN
Title
CORP COMPLIANCE
Phone
(208) 245-4576

Specialties & Taxonomy Codes

Specialty
Non-emergency Medical Transport (VAN)

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