Palisades Bonneville County Rescue

NPI #1235323452 in Swan Valley, Idaho

Provider Information

NPI Number: 1235323452
Entity Type: Organization
Organization Name: Palisades Bonneville County Rescue
Primary Specialty: Ambulance - Land Transport
Enumeration Date: Aug 30, 2007
Last Updated: Aug 30, 2007

Practice Location

Address: HWY 31 # 15
City: Swan Valley
State: Idaho
ZIP Code: 83449
Phone: (208) 520-7242

Authorized Official

Name: CONNIE JACOBSON
Title: PRESIDENT
Phone: (208) 520-7242

Specialties & Taxonomy Codes

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

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