North Star Phoenix INC
NPI #1386512119 in Grangeville, Idaho
Provider Information
- NPI Number
- 1386512119
- Entity Type
- Organization
- Organization Name
- North Star Phoenix INC
- Primary Specialty
- Non-emergency Medical Transport (VAN)
- Enumeration Date
- Oct 24, 2025
- Last Updated
- Oct 24, 2025
Practice Location
- Address
- 421 N STATE ST
- City
- Grangeville
- State
- Idaho
- ZIP Code
- 83530-1741
- Phone
- (208) 494-1905
Authorized Official
- Name
- ELIZABETH DURRETT
- Title
- PRESIDENT
- Phone
- (208) 816-8316
Specialties & Taxonomy Codes
| Specialty |
|---|
| Non-emergency Medical Transport (VAN) |
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