Minidoka Memorial Hospital Ambulance

NPI #1225202922 in Rupert, Idaho

Provider Information

NPI Number: 1225202922
Entity Type: Organization
Organization Name: Minidoka Memorial Hospital Ambulance
Subpart: Yes (part of a larger organization)
Parent Organization: MINIDOKA MEMORIAL HOSPITAL
Primary Specialty: Ambulance - Land Transport
Enumeration Date: Apr 15, 2008
Last Updated: Jun 7, 2011

Practice Location

Address: 1224 8TH ST
City: Rupert
State: Idaho
ZIP Code: 83350-1527
Phone: (208) 436-0481

Authorized Official

Name: CARL HANSEN
Title: ADMINISTRATOR
Phone: (208) 436-0481

Specialties & Taxonomy Codes

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

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